Week 4 Sherpath Flashcards
Which cardiovascular effects would the nurse monitor for in a patient after the administration of epinephrine?
Select all that apply.
Increase in heart rate
Decrease in heart rate
Decrease in blood pressure
Peripheral vasoconstriction
Increase in systolic blood pressure
Increase in heart rate
Peripheral vasoconstriction
Increase in systolic blood pressure
When would the nurse anticipate onset of action of epinephrine when administered during cardiac arrest?
1 to 2 minutes
15 to 30 minutes
1 to 2 hours
4 to 6 hours
1 to 2 minutes
In which time frame will the effect of albuterol via inhalation occur?
5 to 15 minutes
90 minutes
2 to 6 hours
10 hours
5 to 15 minutes
Which information would the nurse provide to Alyssa and her parents about the use of an epinephrine autoinjector (EpiPen)?
Select all that apply.
“Take the medication as it is prescribed.”
“It is acceptable to use the EpiPen when the particles are pink to brown in color.”
“Keep an EpiPen available at all times, and store extra medication in a cool, dark place.”
“There is no need to notify the health care provider if the EpiPen is needed more than twice a week.”
“The EpiPen must be administered immediately upon the first occurrence of difficulty breathing, wheezing, hives, itching, hoarseness, or swelling of the lips and tongue.”
“Take the medication as it is prescribed.”
“Keep an EpiPen available at all times, and store extra medication in a cool, dark place.”
“The EpiPen must be administered immediately upon the first occurrence of difficulty breathing, wheezing, hives, itching, hoarseness, or swelling of the lips and tongue.”
Which laboratory values would the nurse review with the administration of epinephrine?
Select all that apply.
TSH
Sodium
Potassium
Hematocrit
Liver function
Renal function
Liver function
Renal function
The nurse would instruct the patient to complete which action after the self-injection of epinephrine?
Massage the site.
Clean the site with alcohol.
Cover the site with a dry dressing.
Perform a self-assessment for signs of infection.
Massage the site.
The nurse would educate the patient about which common side effect associated with albuterol?
Diarrhea
Chest pain
Nervousness
Neuropathic pain of the feet
Nervousness
Which drug mimics the effects of sympathetic nervous system (SNS) neurotransmitters?
Epinephrine
Atropine
Serotonin
Acetylcholine
Epinephrine
Which mechanism of albuterol reduces airway resistance?
Activation of dopamine receptors
Activation of beta2-mediated bronchodilators
Stimulation of beta1-mediated bronchodilators
Stimulation of gamma-aminobutyric acid (GABA) receptors within the respiratory system
Activation of beta2-mediated bronchodilators
Which phrase describes the primary use of albuterol for a patient with emphysema?
Prevent bronchospasm
Decrease fluid loss by decreasing respirations
Prevent the development of pneumonia
Increase the respiratory rate of the patient
Prevent bronchospasm
Which assessment data will the nurse collect before administering albuterol?
Select all that apply.
Pupillary response
Vital signs
Breath sounds
Skin assessment
Color of nail beds
Mucous membrane color
Vital signs
Breath sounds
Which assessment finding would be of greatest concern to the nurse after administration of epinephrine?
Blood pressure 150/90 mm Hg
Patient report of chest pain
Patient report of tremors
Blood glucose level 190 mg/dL
Patient report of chest pain
Which assessment findings indicate effectiveness of albuterol?
Select all that apply.
Increased heart rate
Clear breath sounds
Increased respiratory rate
Diminished breath sounds
Oxygen saturation 95%
Clear breath sounds
Oxygen saturation 95%
The nurse observes redness and irritation at the intravenous (IV) infusion site of a patient who received IV epinephrine. Why would the nurse be concerned about this finding?
Epinephrine can cause tissue necrosis.
Epinephrine can cause an allergic reaction.
Epinephrine absorption rate may be altered due to the redness.
The patient may have an infection at the infusion site that will prolong hospitalization.
Epinephrine can cause tissue necrosis.
Which side effect would the nurse monitor a patient for after administering albuterol via inhalation?
Increased heart rate
Increased respiratory rate
Decreased blood pressure
Decreased oxygen saturation
Increased heart rate
How would the nurse determine the effectiveness of albuterol therapy?
Auscultate the patient’s lung sounds.
Monitor the patient’s blood pressure.
Evaluate the patient’s ability to use the inhaler.
Measure the patient’s respiratory rate.
Auscultate the patient’s lung sounds.
The nurse is providing instructions for a patient with a new EpiPen. Which instruction would the nurse include when teaching a patient how to use an EpiPen?
Store the EpiPen in the refrigerator.
Hold the device in place for 5 to 10 seconds.
Administer the EpiPen at a 45-degree angle.
Avoid touching the site after the injection.
Hold the device in place for 5 to 10 seconds.
A patient reports using an EpiPen an average of four times weekly. Which action would the nurse take?
Notify the health care provider.
Instruct the patient on site rotation.
Work with the patient to develop a plan to minimize chances of infection.
Provide the patient with a new log sheet to record injections.
Notify the health care provider.
Which instruction would the nurse include when teaching a patient how to use an albuterol inhaler?
Rinse the mouth after each use.
Do not take more than four inhalations at one time.
Report throat dryness to the health care provider.
Limit fluid intake while taking albuterol treatments.
Rinse the mouth after each use.
Which statement by a patient taking albuterol indicates the need for further education?
“I may feel shaky after I use my inhaler.”
“I will drink plenty of water while I am taking this inhaler.”
“I can take up to six puffs of my inhaler if I feel short of breath.”
“I will notify my health care provider if my breathing gets worse.”
“I can take up to six puffs of my inhaler if I feel short of breath.”
Which routes will the nurse instruct the patient to use for self-administration of epinephrine via an EpiPen?
Select all that apply.
Oral
Intradermal
Intravenous
Intramuscular
Subcutaneous
Intramuscular
Subcutaneous
Which receptors are categorized as cholinergic?
Select all that apply.
Muscarinic
Nicotinic
Acetylcholine
Gamma-aminobutyric acid (GABA)
Adrenergic
Muscarinic
Nicotinic
Which names describe the class of drugs that affect the parasympathetic nervous system?
Select all that apply.
Cholinergic agonists
Parasympatholytics
Vasoconstrictors
Monoamine oxidase inhibitors
Calcium channel blockers
Cholinergic agonists
Parasympatholytics
In which way does the pharmacokinetics of atropine differ from that of bethanechol?
Atropine is excreted in the urine, whereas bethanechol is excreted by the lungs.
Atropine can be given orally or topically, whereas bethanechol can only be given orally.
Atropine is absorbed poorly, whereas bethanechol is absorbed rapidly.
Atropine is not metabolized, whereas bethanechol is metabolized by the liver.
Atropine can be given orally or topically, whereas bethanechol can only be given orally.
Bethanechol binds with which receptors to cause activation?
Cholinergic
Nicotinic
Adrenergic
Channel-linked
Cholinergic
Which intervention would the nurse add to Mr. Graves’ plan of care?
Assess for rhonchi and wheezes.
Encourage voiding before taking the medication.
Monitor for signs of a paralytic ileus.
Request a diet high in fiber.
Assess for rhonchi and wheezes.
Which instruction would the nurse include in Mr. Graves’ patient education plan?
Limit activity outdoors during hot temperatures to avoid hyperthermia.
Use artificial tears to avoid dry eyes.
Wear sunglasses to decrease sensitivity to bright light.
Sit up slowly from a lying position to avoid dizziness.
Sit up slowly from a lying position to avoid dizziness.
The presence of which conditions are contraindications to treatment with atropine?
Select all that apply.
Narrow-angle glaucoma
Tachycardia
Benign prostatic hypertrophy
Paralytic ileus
Second-degree heart block
Narrow-angle glaucoma
Tachycardia
Benign prostatic hypertrophy
Which medication is used as an antidote for cholinergic overdose?
Atropine sulfate
Epinephrine
Vancomycin
Insulin
Atropine sulfate
After administration of atropine, which information would the nurse provide to the patient?
Select all that apply.
Drink adequate amounts of fluids.
Chew gum or suck on hard candy.
Maintain good oral hygiene.
Avoid the use of artificial tears.
Limit the consumption of dietary fiber.
Drink adequate amounts of fluids.
Chew gum or suck on hard candy.
Maintain good oral hygiene.
Which therapeutic effect of atropine is expected after administration?
Improved urination
Increased salivation
Increased heart rate
Relieved constipation
Increased heart rate
A patient is receiving bethanechol at 0900. At which time does the nurse anticipate the onset of action for the drug?
0915
1000
1100
1500
1000
Which responses are expected after the administration of a cholinergic agonist?
Select all that apply.
Stimulation of urination
Stimulation of gastrointestinal (GI) tone
Pupillary constriction
Increase in neuromuscular transmission
Decrease in bronchial secretions
Stimulation of urination
Stimulation of gastrointestinal (GI) tone
Pupillary constriction
Increase in neuromuscular transmission
Which condition is the primary indication for treatment with atropine?
Symptomatic bradycardia
Urinary retention
Myasthenia gravis
Multiple sclerosis
Symptomatic bradycardia
Which medical conditions may be exacerbated by the use of cholinergic agonists?
Select all that apply.
Irritable bowel syndrome
Urinary obstruction
Asthma
Diabetes
Cancer
Irritable bowel syndrome
Urinary obstruction
Asthma
The nurse receives a prescription from the health care provider to administer bethanechol intravenously. Which action by the nurse is appropriate?
Call the health care provider to get the prescription changed to the oral form.
Administer the medication.
Wait until the pharmacy calls the health care provider about the prescription.
Change the prescription in the computer to the correct route.
Call the health care provider to get the prescription changed to the oral form.
When administering atropine preoperatively to prevent aspiration of respiratory secretions, how many minutes before anesthesia will the nurse give the drug?
to minutes
Use numbers only.
30 to 60 minutes
Which side effect will the nurse assess for after the administration of atropine?
Blurred vision
Abdominal cramping
Aspiration
Diaphoresis
Blurred vision
Which adverse effects would the nurse monitor for in a patient receiving atropine?
Select all that apply.
Tachycardia
Bradycardia
Hyperthermia
Diarrhea
Hypertension
Tachycardia
Bradycardia
Hyperthermia
The patient is experiencing muscle weakness and increased salivation after receiving a cholinergic medication. Which action by the nurse is the priority?
Notify the health care provider about potential cholinergic overdose.
Administer atropine.
Evaluate for hypertension.
Auscultate breath sounds.
Notify the health care provider about potential cholinergic overdose.
Which information will the nurse provide to the patient receiving atropine?
Change positions slowly to prevent hypotension.
Use lip balm to prevent dry lips.
Use loperamide to prevent diarrhea.
Eat a banana to avoid leg cramps.
Use lip balm to prevent dry lips.
Which information will the nurse include in a teaching plan for a patient receiving bethanechol?
Increase dietary fiber.
Decrease fluid consumption to 1 L/day.
Take ibuprofen for headaches.
Take the medication 1 hour before meals or 2 hours after meals.
Take the medication 1 hour before meals or 2 hours after meals.
Specifically related to the side effect of orthostatic hypotension, the nurse would educate the patient to take which action?
Rise slowly from a lying position.
Do not shower while standing up.
Sleep in the supine position.
Use the call light and ask for assistance when mobile.
Rise slowly from a lying position.
Which side effect of bethanechol is the nurse managing by performing frequent oral care?
Excessive salivation
Tonsillitis
Pharyngitis
Dry mouth
Excessive salivation
