Deck 9: Drugs Affecting Functions of the Autonomic Nervous System

Question 1

The nurse is providing care to a client who has been prescribed a beta blocker.Which item in the client's history does the nurse suspect this medication has been prescribed to treat?
1)Increased intraocular pressure
2)Urinary retention
3)Hypertension
4)Hypotension

Answer 1

3

Question 2

The nervous system consists of which two divisions? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Autonomic
2)Sympathetic
3)Central
4)Peripheral
5)Parasympathetic

Answer 2

3,4

Question 3

During discharge education,a nurse tells the client who is prescribed an adrenergic blocker to notify a healthcare provider before taking over-the-counter cold,cough,or sinus medication.Which condition does the nurse expect this client to have?
1)Hypertension
2)Gastritis
3)Seizures
4)Severe cold

Answer 3

1

Question 4

A client has been diagnosed with myasthenia gravis and is experiencing severe muscle weakness.The nurse teaches the client that these symptoms are occurring because of the destruction of what receptor?
1)Nicotinic (cholinergic)receptors found in skeletal muscles
2)Norepinephrine (adrenergic)receptors found in skeletal muscle
3)Muscarinic (cholinergic)receptors found in smooth muscle
4)Norepinephrine (adrenergic)receptors found in smooth muscle

Question 5

The nurse knows that some sympathomimetic drugs stimulate which type of receptor that makes these drugs useful in treating asthma?
1)Beta1
2)Alpha2
3)Beta2
4)Alpha1

Question 6

Stimulation of the sympathetic nervous system is caused by which type(s)of drug? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Adrenergic agents
2)Parasympathomimetics
3)Sympathomimetics
4)Cholinergic agents
5)Autonomic agents

Question 7

The nurse is caring for a client with chronic nasal congestion.The client is being treated with phenylephrine (Neo-Synephrine).What are some possible nursing diagnoses for this client? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Constipation
2)Knowledge deficit related to drug therapy
3)Urinary retention
4)Ineffective breathing pattern
5)Anxiety

Question 8

The client asks the nurse which medication on a family member's list is a beta-adrenergic blocker.What should be the nurse's reply?
1)Prazosin (Minipress)
2)Atenolol (Tenormin)
3)Doxazosin (Cardura)
4)Terazosin (Hytrin)

Question 9

Stimulation of the parasympathetic nervous system is caused by which type(s)of drug? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Parasympathomimetics
2)Cholinergic agents
3)Adrenergic agents
4)Sympathomimetics
5)Anticholinergic agents

Question 10

The somatic nervous system consists of nerves that provide what function?
1)Provide involuntary control over cardiac muscles
2)Provide voluntary control of skeletal muscles
3)Provide involuntary control over smooth muscles
4)Provide involuntary control of glands

Question 11

When teaching a client about beta blockers,what should the nurse include in the teaching plan regarding what can occur with abrupt discontinuation?
1)Dry mouth and painful urination
2)Dizziness and coma
3)Chest pain and rebound hypertension
4)Cramping and constipation

Question 12

Which nervous system is responsible for the fight-or-flight response?
1)Sympathetic
2)Somatic
3)Peripheral
4)Parasympathetic

Question 13

A client with benign prostatic hypertrophy (BPH)is started on the alpha blocker,alfuzosin (Uroxatral).The nurse knows it is important to inform the client of which possible side effect?
1)Impotence
2)Diaphoresis
3)Dental caries
4)Constipation

Question 14

What are the two subtypes of norepinephrine receptors? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Beta
2)Delta
3)Epsilon
4)Alpha
5)Pi

Question 15

What is the name of the chemicals that allow nerve impulses to cross the synaptic cleft?
1)Neurotransmitters
2)Neurons
3)Autonomic drugs
4)Presynaptic neurons

Question 16

While providing comfort to a client on anticholinergics,what intervention should the nurse avoid?
1)Frequent oral hygiene
2)Hard candy
3)Oral rinses
4)Alcohol-containing mouthwash

Question 17

A client with asthma is using ipratropium (Atrovent),an anticholinergic.What is the most appropriate teaching point for this client?
1)Limit outside activity
2)Monitor serum glucose
3)Increase outside activity
4)Decrease fluid intake

Question 18

Inhibition of the sympathetic nervous system is caused by which type of drug?
1)Adrenergic blockers
2)Sympathomimetics
3)Cholinergic agents
4)Parasympathomimetics

Question 19

The autonomic nervous system consists of which two subsystems? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Somatic nervous system
2)Parasympathetic nervous system
3)Peripheral nervous system
4)Sympathetic nervous system
5)Central nervous system

Question 20

A client with chronic sinusitis complains of heart palpitations and nervousness following the use of pseudoephedrine (Afrin)nasal spray.The nurse recognizes that these side effects are the result of which classification of medication?
1)Sympathomimetics
2)Adrenergic blockers
3)Histamines
4)Parasympathomimetics

Question 21

Inhibition of the parasympathetic nervous system is caused by which type of drug? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Anticholinergics
2)Sympathomimetics
3)Parasympathomimetics
4)Cholinergic blockers
5)Sympathomimetic blockers

Question 22

Following a chemical explosion,a client presents to the Emergency Department with muscle twitching,loss of bowel and bladder control,and confusion.The nurse recognizes that the client has been in contact with what nerve agent?
1)Ethosuximide (Zarontin)
2)Atropine (Atropine)
3)Ritodrine (Yutopar)
4)Pridostigmine (Mestinon)

Question 23

Which is the action of the parasympathetic nervous system?
1)Fight-or-flight response
2)Reproduction and excretion
3)Rest and digest
4)Increased heart rate and blood pressure

Question 24

The physician states that an anticholinergic drug has been prescribed for a client.The nurse anticipates which medication to be ordered?
1)Ipratropium (Atrovent)
2)Neostigmine (Prostigmin)
3)Bethanechol (Urecholine)
4)Pyridostigmine (Mestinon)

Question 25

Which side effects limit the usefulness of anticholinergic agents? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Urinary retention
2)Hypotension
3)Increased salivation
4)Tachycardia
5)Bradycardia

Question 26

Bethanechol (Urecholine)has been prescribed for a client,who asks the nurse what the side effects of this drug are.Which side effects are related to this drug? (Select all that apply.)Note: Credit will be given only if all correct choices and no incorrect choices are selected.
1)Abdominal cramping
2)Hypotension
3)Increased salivation
4)Hypertension
5)Urinary retention

Question 27

Which statement reflects how drugs affect the autonomic neurotransmitters?
1)They activate and stimulate the receptors of the neurotransmitters.
2)They block or enhance the activity of the neurotransmitter.
3)They initiate or convert the activity of the neurotransmitter.
4)They obstruct and hamper the receptors of the neurotransmitters.