Deck 4: Pharmacology of Alterationsin the Autonomic NervousSystem

Question 1

Which client responses are considered involuntary responses to autonomic nervous system control? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Becoming angry
2) Tripping over a chair
3) Complaining of nausea
4) Feeling depressed
5) Being happy

Answer 1

1,4,5

Question 2

How is the process of synaptic transmission best described?
1) The conduction of action potentials that move rapidly from one neuron across the synapse to its target tissue
2) When the nerve impulse reaches the terminal axon and enters the synaptic cleft
3) The communication of the message from one cell to another utilizing neurotransmitters
4) When a neurotransmitter is synthesized within a cell body, causing a contraction

Answer 2

3

Question 3

Which response is produced by muscarinic receptors containing acetylcholine?
1) Decreased peristalsis
2) Increased sweat production
3) Decreased heart rate
4) Increased blood pressure

Answer 3

3

Question 4

The termination of norepinephrine (NE) occurs through the process of reuptake. Which phrase best describes this phenomenon?
1) Movement of NE to the adrenergic receptor sites.
2) Release of NE into the bloodstream.
3) Storage of NE in preganglionic nerves for future use.
4) Destruction of NE by the enzyme catechol-O-methyltransferase (COMT).

Question 5

Which statement best describes the action of norepinephrine?
1) An enzymatic substance released at receptors at the end of postganglionic nerves
2) The neurotransmitter that binds to adrenergic receptors to produce a physiologic response
3) The activation of beta receptors to constrict coronary blood vessels
4) The stimulation of alpha receptors to decrease blood pressure

Question 6

Which statement explains how autonomic drugs affect synaptic transmission?
1) Drugs are frequently given to correct autonomic dysfunction.
2) Drugs used to prevent the normal destruction of the neurotransmitter cause the neurotransmitter to remain in the synapse for a longer period of time.
3) Drugs influence the release of neurotransmitters at the postganglionic site.
4) Drugs that decrease the degree of neurotransmitter synthesis stimulate autonomic responses.

Question 7

What is the autonomic nervous system's (ANS) main integration centre?
1) Spinal cord
2) CNS
3) Cerebellum
4) Cerebral cortex

Question 8

Which action of the adrenal medulla directly affects the sympathetic nervous system?
1) Arousal and wakefulness
2) Fight-or-flight response
3) Sensations of pain and touch
4) Ability to walk and speak

Question 9

What are the components of the nervous system?
1) A sensory division and a motor division
2) Sympathetic and parasympathetic divisions
3) Nerves that deliver messages to vital organs
4) The central nervous system and the peripheral nervous system

Question 10

A client is prescribed an autonomic medication and asks the nurse how it works. Which response by the nurse is the most appropriate?
1) "The drug acts to stop the symptoms you are experiencing."
2) "The drug will help you with your day-to-day activities."
3) "The drug you are taking mimics the substance you are missing."
4) "The drug works by targeting the organ affected and producing an expected response."

Question 11

The nurse is explaining the process of synaptic transmission to the client who is taking medication that will affect it. Which client statement would indicate the need for further instruction?
1) The two primary neurotransmitters of the autonomic nervous system are epinephrine and dopamine.
2) The ganglia contain the neuron cell body of the postganglionic neuron.
3) The more neurotransmitter released into the synapse, the greater the response.
4) After the neurotransmitter binds with a receptor, the message is conveyed to the target tissue.

Question 12

A client has sustained a large blood loss. During the assessment, the nurse realizes that which findings are controlled by the nervous system? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Heart rate
2) Blood pressure
3) Pupil size
4) Bowel sounds
5) Fluid volume

Question 13

Which of the following actions result from the main action of acetylcholine (ACh) at cholinergic synapses?
1) Inhibition of optic muscles
2) Stimulation of cardiac muscle
3) Contraction of skeletal muscle
4) Relaxation of smooth muscle

Question 14

Which clinical manifestations indicate a central nervous system dysfunction? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Lack of movement in the left upper extremity
2) Decreased secretion of gastric acid
3) Increased thirst
4) Decreased memory
5) Increased blood pressure and heart rate when threatened

Question 15

Which is an example of an autonomic function?
1) Contraction of cardiac muscles
2) Movement of skeletal muscles
3) Organization of thought
4) Awareness of position

Question 16

Which response is produced by nicotinic receptors containing acetylcholine?
1) Decreased heart rate
2) Increased blood pressure
3) Increased peristalsis
4) Decreased sweat production

Question 17

Which type of medication inhibits autonomic responses at target organs or glands?
1) Drugs that prevent neurotransmitter reuptake.
2) Drugs that prevent neurotransmitter storage.
3) Drugs that increase neurotransmitter synthesis.
4) Drugs that promote neurotransmitter release.

Question 18

Which assessment finding is reflective of the parasympathetic nervous system?
1) Frequent bowel movements
2) Elevated liver enzymes
3) Pupils 8 mm and equal
4) Decreased urine output

Question 19

Which system is comprised of the somatic and autonomic nervous systems?
1) Sensory nervous system
2) Motor nervous system
3) Central nervous system
4) Peripheral nervous system

Question 20

Which laboratory value indicates a response to the sympathetic nervous system?
1) Urinalysis +5 WBC
2) Hemoglobin 135 g/L
3) Blood glucose 14 mmol/L
4) Blood urea nitrogen 7.1 mmol/L

Question 21

The nurse is caring for a client with multisystem organ failure. Which client assessment findings are under the control of the sympathetic nervous system? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Blood glucose level 14 mmol/L
2) Blood pressure 180/90 mmHg
3) Total cholesterol level 4.8 mmol/L
4) Respiratory rate 14 and regular
5) Hyperactive bowel sounds

Question 22

What is the most significant difference between neostigmine and pyridostigmine?
1) Neostigmine has no adverse effects.
2) Neostigmine has a longer duration of action.
3) Neostigmine has a shorter duration of action.
4) Neostigmine cannot counteract neuromuscular blocking effect.

Question 23

A client is prescribed donepezil (Aricept), an Acetylcholinesterase inhibitors, for treatment of Alzheimer disease. What will the nurse teach the client and his family about this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) This medication will improve memory.
2) This medication will improve thinking.
3) This medication slows the progression of the disease.
4) This medication will cure the disease.
5) This medication causes a long-term improvement in the progression of the disease.

Question 24

The nurse is providing a client with a medication that is a beta1 and beta2 blocker. Which effects will the nurse expect to assess from this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Decreased heart rate
B) Reduced blood pressure
C) Increased blood pressure
D) Dilated pupils
E) Reduced anxiety

Question 25

A client who is suspected to have myasthenia gravis is given a small dose of postoperative medication. The client subsequently develops increased muscle weakness. Which medication should the nurse anticipate administering immediately?
1) A dopamine agonist
2) A calcium channel blocker
3) A cholinesterase inhibitor
4) A sympathetic stimulant

Question 26

A client with myasthenia gravis is prescribed neostigmine. The client telephones to report severe abdominal pain for the last 4 hours. Which response by the nurse is the most appropriate?
1) "Increase your evening dose of medication. This should resolve your pain."
2) "This is a common side effect that should resolve when you have a bowel movement."
3) "You need to be evaluated immediately for a bowel obstruction."
4) "You are probably constipated. Take a laxative and return to the office in the morning."

Question 27

The nurse differentiates between a cholinergic crisis and a myasthenic crisis by taking which action?
1) Assessing the neuromuscular status of the client
2) Asking the client about family and occupational history
3) Assessing serum levels of the cholinesterase inhibitor
4) Administering edrophonium and monitoring the client's response

Question 28

The nurse is providing a medication to a client that will stimulate the sympathetic nervous system. This medication will cause which effects to the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Increased heart rate
B) Increased blood pressure
C) Increased respirations
D) Dilated pupils
E) Decreased body temperature

Question 29

A client is prescribed a medication that will block muscarinic receptors. The nurse realizes that this medication has implications for which body systems? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Eyes
2) Respiratory
3) Cardiac
4) Endocrine
5) Metabolic

Question 30

Prior to administering a prescribed muscarinic agonist, the nurse reviews the client's medical history and decides to withhold the medication until contacting the health care provider. Which findings in the medical history support withholding the medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) The client's bowel sounds are absent.
B) The client has esophageal reflux.
C) The client has ventricular dysrhythmia.
D) The client has a diagnosis of arthritis.
E) The client has spinal stenosis.

Question 31

A client is prescribed a medication that will inhibit the parasympathetic nervous system. The nurse will refer to which drug classifications for this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Anticholinergics
B) Parasympatholytics
C) Muscarinic blockers
D) Adrenergic antagonists
E) Muscarinic agonists

Question 32

The client develops paralysis of the lower extremities after a skiing accident. Which part of the nervous system is responsible for the client's change in functioning?
1) Autonomic nervous system
2) Somatic nervous system
3) Sympathetic nervous system
4) Parasympathetic nervous system

Question 33

A client is prescribed bethanechol (Duvoid) 10 mg PO tid. What will the nurse determine as an adverse effect of this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Nausea and vomiting
2) Blurred vision
3) Orthostatic hypotension
4) Increased peristalsis
5) Slow respiratory rate

Question 34

Which action is the most appropriate description for cholinesterase inhibitors?
1) Intensify transmission at neuromuscular junctions only.
2) Prevent transmission at neuromuscular junctions only.
3) Prevent transmission at muscarinic, ganglionic, and neuromuscular junctions.
4) Intensify transmission at muscarinic, ganglionic, and neuromuscular junctions.

Question 35

A client with Alzheimer disease is admitted for an overdose of galantamine (Reminyl) What signs and symptoms will the nurse likely assess in this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Bradycardia
B) Vomiting
C) Muscle twitching
D) Abdominal cramping
E) Urinary retention

Question 36

The nurse is providing a medication to a client that will decrease autonomic responses. Using this medication will result in which actions? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Decrease neurotransmitter synthesis
2) Prevent neurotransmitter storage
3) Prevent the reuptake of neurotransmitter
4) Prevent neurotransmitter binding
5)Prevent neurotransmitter release

Question 37

A client received an injection of norepinephrine as part of medical treatment. This neurotransmitter will be destroyed by which body organs? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1) Kidney
2) Liver
3) Stomach
4) Bladder
5) Pancreas

Question 38

While assessing a client before administering neostigmine for myasthenia gravis management, the nurse documents that the client has increased muscle strength compared with the last assessment over an hour ago. Which interpretation of this data by the nurse is the most accurate?
1) Toxicity from the medication is imminent.
2) The client's dose should be increased.
3) The medication appears to be effective.
4) The next dose of the medication should not be given.

Question 39

Which side effect from an anticholinergic agent such as atropine is unexpected?
1) Dry mouth
2) Diarrhea
3) Urinary retention
4) Dilated pupils

Question 40

Cholinergic drugs are most often indicated in which situation?
1) Preventing excess salivation and sweating
2) Treating a client with bradycardia
3) Lowering intraocular pressure in clients with glaucoma
4) Inhibiting muscular contractions in the bladder

Question 41

MCSA Student nurses have just completed a class on anticholinergic drugs, and their mechanisms of action. What statement about atropine by a student indicates understanding of the content?
1) "Atropine is an anticholinergic that works by interacting with mescarinic receptors."
2) "Atropine is an anticholinergic that works by potentiating the effects of cholinesterase."
3) "Atropine is an anticholinergic that works by competing for muscarinic receptor sites."
4) "Atropine is an anticholinergic that works by decreasing the effects of cholinesterase."

Question 42

A client receives epinephrine for anaphylactic shock. What is the mechanism of action of epinephrine?
1) Inhibiting reuptake of norepinephrine from the synaptic cleft
2) Indirectly, by promoting release of norepinephrine
3) Directly, by stimulating adrenergic receptors
4) Inhibiting destruction of norepinephrine by enzyme MAO

Question 43

A client prescribed an anticholinergic treatment for Parkinson disease reports he has benign prostatic hyperplasia (BPH) with urinary retention. Which intervention by the nurse is the most appropriate?
1) Instruct the client that the medication will not have an effect on BPH symptoms.
2) Instruct the client to drink less caffeine.
3) Instruct the client to drink more water.
4) Notify the health care provider about the client's report of BPH.

Question 44

A client in hospital has been ordered to receive a dose of atropine. Which of the following natural health products listed in the client's history would present concern to the nurse?
1) St John's wort
2) Aloe Vera
3) Ginseng
4) Kawa

Question 45

Phenylephrine is to be used for a client to reverse hypotension caused by spinal anesthesia. Which of the following are contraindications for this drug? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Angina
B) Parkinson disease
C) Narrow-angle glaucoma
D) Asthma
E) Severe hypertension

Question 46

What will the nurse most likely assess in the client with Parkinson disease who is prescribed a muscarinic antagonist?
1) Diarrhea
2) Reduced tremors and rigidity
3) Increased urine output
4) Rhinorrhea

Question 47

The nurse is teaching a client about the effects of NicoDerm, a transdermal patch he is intending to use for smoking cessation. What effects might the client experience with this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Increased alertness
B) Increased heart rate
C) Tinnitus
D) Increased blood pressure
E) Muscle pain

Question 48

A client who was stung by a bee is treated with an EpiPen auto-injection. Which assessment finding indicates that the drug is working?
1) Increased blood pressure
2) Constriction of the pupils
3) Increased urinary output
4) Spasm of the bronchus

Question 49

A student has completed her pharmacology class on cholinergic and adrenergic drugs. She understands that muscarinic antagonist drugs have similar actions to adrenergic agonists. What information does she include when explaining to a peer the reason why adrenergic agonists are used more commonly for their effects? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Can be given enterally
B) Fewer side effects
C) Patient monitoring is minimal
D) Actions are more specific
E) Can be taken safely by cardiac patients.

Question 50

Which of the following receptors are affected by epinephrine and thus create the "fight or flight" response?
1) The alpha receptors only
2) All alpha and beta receptors
3) The beta-2 receptors only
4) The beta-1 receptors only

Question 51

Which assessment findings does the nurse expect in a client who received a medication that is a muscarinic antagonist? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Dilated pupils
B) Increased heart rate
C) Hypoactive bowel sounds
D) Deep rapid respirations
E) Excessive salivation

Question 52

The nurse is preparing discharge teaching for a client prescribed an anticholinergic drug. Which teaching topic is most appropriate for the nurse to include?
1) Decrease caffeine intake.
2) Drink warm fluids to assist with symptoms of dry mouth.
3) Increase dietary intake of high-fibre foods.
4) Take a daily laxative.

Question 53

The nurse is teaching a client about the use of phenylephrine (Neo-Synephrine) nasal spray. Which statement by the nurse is the most appropriate to include in the teaching plan? Note: Credit will be given only if all corrected choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) "Avoid caffeine-containing beverages while taking this drug."
B) "You must use this spray for a period of 10 days continually for maximal effects."
C) "You can use this spray for treating other members in the family."
D) "Report symptoms of excessive use of this drug, such as palpitations and nervousness."
E) "Do not use this drug if you have heart disease."

Question 54

What do common side effects of bethanechol include?
1) Abdominal cramping
2) Hypertension
3) Constipation
4) Tachycardia

Question 55

Which of the following adverse effects might be assessed on a client receiving epinephrine? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Tachycardia
B) Ventricular dysrhythmia
C) Elevated blood pressure
D) Elevated blood glucose level
E) Flaccid paralysis

Question 56

In the postoperative client, the nurse recognizes that bethanechol (Duvoid) may be given to treat which condition?
1) Respiratory atelectasis
2) Postoperative hypotension
3) Ischemic colitis
4) Urinary atony

Question 57

Caution should be used in administering cholinergic drugs to clients with a history of which condition?
1) Leg cramps
2) Glaucoma
3) Benign prostatic hypertrophy
4) Heartburn

Question 58

Why are adrenergic agonists such as epinephrine given parenterally or by inhalation instead of orally?
1) They are not easily digested in the gastrointestinal tract.
2) They produce toxic by-products in the blood.
3) They are rapidly absorbed by the blood.
4) Catecholamines are metabolized in the liver by the enzymes MAO.

Question 59

What is a priority nursing diagnosis for the client receiving anticholinergic drugs?
1) Injury, Risk for related to CNS changes related to medications
2) Knowledge, Deficient related to new medications
3) Gas Exchange, Impaired related to respiratory secretions
4) Urinary Retention related to loss of bladder tone

Question 60

A client is being treated for cocaine and amphetamine abuse. The nurse realizes that the client's symptoms are caused by which actions of these substances on the central nervous system? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Stimulate the release of norepinephrine on the presynaptic neuron
B) Inhibit the reuptake of norepinephrine from the synaptic cleft back to the presynaptic neuron
C) Inhibit the destruction of norepinephrine by the enzyme monoamine oxidase
D) Inhibit alpha1 receptors
E) Stimulate beta2 receptors

Question 61

Which medication should the nurse anticipate to be prescribed for a client with asthma and hypertension?
1) Metoprolol (Lopressor)
2) Propranolol (Inderal)
3) Sotalol (Betapace)
4) Nadolol (Corgard)

Question 62

A client diagnosed with hypertension is prescribed atenolol (Tenormin). The nurse knows that this medication is a selective beta1 blocker and can be safely used for clients with which concurrent diagnosis?
1) Asthma
2) Diabetes
3) Heart failure
4) Hepatic disease

Question 63

The nurse is preparing discharge instructions for a client who is prescribed an adrenergic antagonist. What should be included in this teaching? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Weighing self daily, at the same time each day
B) How to measure blood pressure
C) How to measure pulse
D) Notifying the health care provider with a weight gain or loss of 2 lbs in one day
E) Stopping taking the medication if dizziness occurs

Question 64

A client reports feeling lightheaded and dizzy with palpitations after being instructed to increase the dose of a prescribed beta-adrenergic antagonist. How should the nurse respond to this client's symptoms? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) "This is first-dose phenomenon."
B) "If the dose is increased again, take the medication at bedtime."
C) "This will go away in time."
D) "Maybe you have another health problem that needs to be examined."
E) "You may have taken too much medication."

Question 65

The nurse learns that a client has been taking a beta-adrenergic antagonist but does not know why. For which disease processes should the nurse focus assessment with this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Angina pectoris
B) Dysrhythmias
C) Glaucoma
D) Hypertension
E) Chronic obstructive pulmonary disease

Question 66

A client is having difficulty managing symptoms of acute bronchospasm. Which medication would be indicated for this client's symptoms?
1) Salbutamol (Ventolin)
2) Phenylephrine (Neo-synephrine)
3) Clonidine (Catapres)
4) pseudoephedrine (Sudafed)

Question 67

The nurse is evaluating a client's response to a newly prescribed adrenergic agonist. Which assessment findings does the nurse anticipate this client will exhibit? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Increased peristalsis
B) Dilated pupils
C) Increased salivation
D) Deep respirations
E) Decreased heart rate

Question 68

A client is diagnosed with hypertension and is ordered a medication that will act on alpha2 receptors. Which alpha2 agonists will the nurse focus her teaching on? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Methyldopa (Aldomet)
B) Clonidine (Catapres)
C) Formoterol (Foradil)
D) Dobutamine (Dobutrex)
E) Norepinephrine (Levophed)

Question 69

Prazosin (Minipress) is prescribed for hypertensive client. Which measure should be used by the nurse to prevent the first-dose phenomenon?
1) Give the dosage early in the morning before breakfast.
2) Give initial low doses at bedtime.
3) Give the dosage with meals.
4) Give initial high dosage and then lower gradually.

Question 70

Which symptom is the client who is prescribed alpha1-antagonist therapy likely to complain of within the first 24 hours?
1) Difficulty swallowing
2) Blurring of vision
3) Decreased urinary frequency
4) Attacks of dizziness and faintness

Question 71

A client with hypertension is prescribed a beta blocker. What actions of a betablocker result in lowering of the client's blood pressure? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Reduced myocardial contractility
B) Reduced release of renin
C) Relaxed arteriole smooth muscle
D) Reduced sympathetic output from the brain
E) Reduced lipolysis

Question 72

A client is prescribed an alpha1 antagonist for blood pressure control. When instructing the client, the nurse will include that this medication performs which action? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Blocks alpha1 receptors on arterial smooth muscle
B) Dilates veins
C) Blocks alpha2 receptors on arterial smooth muscle
D) Reduces the heart rate
E) Decrease the force of myocardial contraction

Question 73

A client with heart failure is started on a beta1-agonist medication to improve cardiac output. The nurse would explain that this medication performs which action? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Increases cardiac output
B) Increases the strength of myocardial contractions
C) Relaxes bronchial smooth muscle
D) Prevents low blood pressure
E) Treats high blood pressure

Question 74

Nursing students are being tested on their knowledge of adrenergic antagonists. Which answer about the actions of alpha antagonists indicate understanding of the material?
1) Relax small arterioles causing vasodilation
2) Slow conduction through the atrioventricular node
3)Actions initiate in the adrenal medulla
4) Mimic actions of cholinergic antagonists

Question 75

The nurse is preparing a care plan for an elderly client diagnosed with hypertension, who is prescribed prazosin (Minipress) 1 mg 2 times a day. Which instructions should the nurse include in the care plan for this client? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) This drug decreases urinary output and causes urinary retention.
B) The first dose should be given at bedtime.
C) Monitor for drug-related side effects such as dizziness, fatigue, and weakness.
D) Client must be recumbent for 3 to 4 hours if the first dose is given during the daytime.
E) This drug can cause severe constipation, so a high-fiber diet is advisable.

Question 76

A client asks the nurse, "What would happen if I stop taking the beta-blocker my physician ordered?" Which response by the nurse is the most appropriate? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) "You may start sweating and have palpitations."
B) "You may get a headache."
C) "You could develop nausea and vomiting."
D) "Nothing will occur."
E) "The medication will not work if prescribed again."

Question 77

A client is receiving an infusion of an adrenergic agonist. Which actions by the nurse indicate an understanding of this drugs effect? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Using an infusion pump.
B) Frequently assessing the infusion site.
C) Stopping the infusion with signs of extravasation.
D) Raising the head of the bed.
E) Reporting signs of urinary retention.

Question 78

A client is prescribed a medication that is a catecholamine. The nurse will expect the pharmacy to prepare the medication to be administered through which routes? Note: Credit will be given only if all correct choices and no incorrect choices are selected.Standard Text: Select all that apply.

A) Intravenous
B) Inhalation
C) Oral
D) Topical
E) Subcutaneous