Adrenergic Agonists And Blockers; Cholinergic Agonists And Anticholinergics; Antiflammatory Drugs; Nonopioid And Opioid; Drugs For Upper And Lower Respiratory Disorders

Front 1

What are drugs that mimic the effect of norepinephrine called

Back 1

sympathomimetics, or adrenergic drugs

Front 2

Which adrenergic drugs is used in an emergency to manage a life-threatning allergic reaction

Back 2

epinephrine

Front 3

A client with asthma is recieving metoprolol (Lopressor), a beta blocker for hypertension. The client asked if metoprolol will effect her asthma. Which response would be most appropriate for the nurse to give the client?

Back 3

"Metoprolol decreases pulse rate and thus blood pressure, but should not have an effect on the bronchioles."

Hint 3

Metoprolol is formulated to not cause bronchial constriction. Most other beta blockers cause bronchoconstriction and are contraindictated with asthma.

Front 4

Which statement would the nurse include in the teaching session for a client receiving beta blockers

Back 4

do not abrubtly stop taking the drug due to the possibility of rebound hypertension

Front 5

A client is discharged on beta blockers. Which skill would be essential for the client's family to learn?

Back 5

How to monitor heart rate and blood pressure

Hint 5

Due to the action and side effects of beta blockers, heart rate and blood pressure should be monitored frequently

Front 6

The primary action of bethanechol HCl (a direct-acting cholinergic) is to

Back 6

increase urination by increasing bladder constriction

Hint 6

This medication increases bladder constriction, leading to more effective bladder emptying

Front 7

Bethanechol HCl (Urecholine) is contraindictated if a client has a history of

Back 7

severe bradycardia and hypotension

Hint 7

side effects of this medication are decreasing the pulse and vasodialation, which can exacerbate bradycardia and hypotension

Front 8

The action of cholinesterase inhibitors for glaucoma is to

Back 8

produce pupillary constriction

Hint 8

with constriction, the outflow of aqueous humor is faciliatated, decreasing intraocular pressure

Front 9

The primary use for atropine (anticholinergic) as a preoperative drug is to

Back 9

decrease salivation

Hint 9

This is the function of preoperative atropine in order to decrease the risk of aspiration during intubation

Front 10

When teaching clients about taking an anticholinergic the nurse should include which instruction

Back 10

If you have problems with dry mouth you can use hard candy, chewing gum, and oral hygeine as needed

Hint 10

Dry mouth is common side effect of the anticholinergics

Front 11

Overuse of acetaminophen (Tyenol) may result in

Back 11

liver damage

Hint 11

Tyenol is metabolized by the liver and, with extended use, may be toxic to liver tissue

Front 12

Which symptom can be found with the regular use of aspirin

Back 12

Intense abdominal pain

Hint 12

ASA may cause gastric irritation and lead to ulceration. Abdominal pain may indicate this and may be a medical emergency

Front 13

Ibuprofen, a frequentl taken nonnarcotic analgesic, should be taken

Back 13

with plenty of fluid or food

Hint 13

Ibuprofen may cause gastric irritation, so food or fluid will decrease this effect

Front 14

Meperidine (Demerol) is a synthetic narcotic used frequently for acute pain. The serious side effect of meperidine is

Back 14

orthostatic hypotension

Hint 14

Orthotension hypotension must be watched for with client receiving this medication

Front 15

A client sustains a myocardial infarction (heart attack) and is in severe pain. The nurse administers 5mg morphine sulfate intravenousl. What is the purpose for giving the client morphine intravenously

Back 15

immediately reduce severe pain

Hint 15

IV medications are most bioavailable and will sustain a more rapid efflect

Front 16

A nurse administers morphine sulfate to an adult postoperative client. Which vital sign would indicate an adverse reaction to morphine sulfate

Back 16

Repsiratory rate of 8 breaths/minute

Hint 16

The most common adverse reaction to morphine sulfate is respiratory depression. A respiratory rate of 8 breaths per minute is indicative of this

Front 17

A nurse is assessing a postoperative client and notes that the client received morphine sulfate for severe pain 1 hour ago. Which side effects should the nurse assess this client for after receiving this medication

Back 17

Constipation and pruritus

Hint 17

These are known to happen with morphine and should be evaluated for in patients

Front 18

A patient receives nalbuphine (Nubain) for intense pain related to a fracture. Which nursing intervention is an important part of the plan of the plan of care 1 hour following administration of this medication

Back 18

monitor vital signs when getting out of bed

Hint 18

This medication may cause hypotension, so the nurse should assess vital signs with position changes

Front 19

A nurse is working on a pediatric unit. One of the client's parents asks the nurse why aspirin is not used with children. The nurse's response is based on the fact that aspirin is contraindicted if a child has

Back 19

virus or flu

Hint 19

Use of ASA following a viral infection has been related to Reye's syndrome ad is therefore contraindicted

Front 20

A nurse is teaching a female client about taking NSAIDs. When evaluating the effect of the teaching, which statement, if made by the client would require further instruction

Back 20

it is okay to take NSAIDs during heavy mensrual flow for pain

Hint 20

The NSAIDs may increase teh client's bleeding time, which may increase bleeding time during menstrual periods

Front 21

A client is receiving auranofin (Ridaura). When teaching this client about the medication which information would be the priority

Back 21

You will need to get frequent blood tests

Hint 21

Bleeding dyscrasias are the most life threatning

Front 22

A client is ordered to receive colchicine (Novocolchine) for an acute gout episode. Colchicine, an antigout drug, acts by inhibiting

Back 22

migration of leukocytes to the inflamed site

Front 23

When teaching a client about the use of NSAIDs, the nurse would need to teach the client that which is a common side effect of these drugs

Back 23

GI distress

Front 24

A nurse receives an order to administer epinephrine to a client. Which of the following routes of administration would the nurse question

Back 24

oral

Hint 24

Epinephrine is rapidly metabolized in the GI tract and the liver and should not be given orally

Front 25

Indirect-acting cholinergics acts by

Back 25

inhibiting the action of the enzyme cholinesterase

Front 26

A group of clients cared for by the nurse are ordered to take NSAIDs. All of the following instructions are possible. Which client instructions would the nurse question

Back 26

Instruct women to take NSAIDs during heavy menstrual flow for pain

Front 27

The population of clients most often responsive to the NSAID group of medications is those with

Back 27

rheumatoid arthritis and osteoarthritis

Hint 27

NSAIDs assist with pain and inflammation. Postoperative and incisional pain shoud be treated with narcotics.

Front 28

The nurse is caring for a client with rheumatoid arthritis. The nurse is aware that disease-modifying antirheumatic drugs (DMARDs) may be prescribed when NSAIDs do not control immune-mediated arthritic disease sufficiently. Which of the following is not in a DMARD

Back 28

corticosteroids

Hint 28

Antimalarials, gold drugs and immunosuppressants are all DMARDs

Front 29

A client is ordered to receive gold therapy. The nurse responds that gold medications generally

Back 29

achieve the desired effect in 3 to 6 months

Hint 29

Gold therapy, or chrysotherapy, takes 3 to 6 months to reach effective levels

Front 30

A client with gout is ordered to receive a medication that acts by increasing uric acid excretion. This drug is

Back 30

probenecid (Benemid)

Front 31

Indomethacin (Indocin) is highly protein-bound and is ordered as a new medication for the client. The client is taking another medication that is moderately protein-bound. Upon administration of both medications, the nurse is most concerned with

Back 31

toxic levels of the first drug

Hint 31

The indomethacin would replace the first drug, allowing more of the first medication free for active drug levels

Front 32

A client is ordered to receive a nonnarcotic analgesic These are usually to treat

Back 32

acute mild pain

Hint 32

nonnarcotic analgesics are used for mild to moderate pain and may be available OTC

Front 33

Acute pain resulting from a procedure or injury is usually controlled with nonnarcotic and narcotic analgesics. Severe acute pain is frequently treated using

Back 33

a narcotic

Front 34

A 5 year old client has an elevated temperature due to a viral respiratory infection. The choice of nonnarcotic drug to decrease the child's body temperature is

Back 34

Acetaminophen

Hint 34

Medications containing ASA are not recommended because of the possibility of developing Reye's syndrome. Bufferin and Anacin contain ASA

Front 35

A newborn baby is very lethargic. It is discovered that the mother received a narcotic agent 1 hour before delivery. A narcotic antagonist is ordered. This medication is known as

Back 35

naloxone (Narcan)

Front 36

An adult client with a head injury complains of severe pain. The nurse notes that the dose of narcotic is half the normal adult dose. The nurse is aware that this is because

Back 36

respiratory depression allows for a buildup of CO2. a vasodilator

Hint 36

IF repsiratory depression occur, the respiratory rate may decrease, causing hypoventilation. This allows CO2 to build up, causing cerebral vasodilatation and increasing intracranial pressure

Front 37

A client receives hydromorphone (Dilaudid) following an operative procedure. The nurse assesses the client's urine output to monitor for which of the following side effects of this medication

Back 37

Urinary retention

Front 38

The general sympathetic responses to adrenergic drugs include

Back 38

increasing heart rate and constricting blood vessels

Hint 38

These changes represents the "fight or flight" responses

Front 39

A client was stung by a bee. This is the third bee sting the client has received, and the client complains of shortness of breath. The adrenergic drug used in emergencies to combat a life-threatening allergic reaction is

Back 39

epinephrine

Hint 39

Epinephrine has powerful beta2 action that dilates bronchial airways

Front 40

Rebound congestion may result if a client overuses a nasal decongestant spray. Rebound congestion is

Back 40

rebound vasodilation of the nasal mucosa

Hint 40

congestion is caused by vasodilation and may result from overuse of decongestants

Front 41

Antihistamines are divided into the first and second generations. Second-generation antihistamines::

Back 41

have fewer anticholinergic symptoms

Hint 41

Second generation antihistamines are formulated with fewer anticholinergic symptoms

Front 42

A client is ordered to receive Diphenhydramine (Benadryl). This medication is from which group

Back 42

Antihistamines

Front 43

A nurse is teaching a client about the side effect/adverse reactions of theophylline (Theo-Dur). They include

Back 43

tachycardia and palpatations

Hint 43

As a medication to stimulate the sympathetic nervous system, this medication may cause tachycardia and palpipation

Front 44

a client is treated with two inhalers, albuteral (proventil) and glucocorticoid (Vanceril). The nurse is planning the care an knows that the client should

Back 44

use the proventil inhaler first and wait 5 minutes before following with Vanceril

Hint 44

The bronchodilater is used first to open the airway; tehn the steroid is used

Front 45

A new drug catergory with U.S. Food and Drug Administeration approval is leukotriene inhibitors/modifiers. Leukotriene inhibitors are prescribed:

Back 45

for prophylactic and maintenance drug therapy for chronic asthma

Front 46

A client is taught the strategies to prevent Candida infections. Which of the following would teh nurse include in the instructions?

Back 46

Rinse the mouth with water after each use

Front 47

Anticholinergics are contraindictated with glaucoma because they:

Back 47

Increase intraocular pressure

Hint 47

With pupillary dilation, the outflow of aqueous humor is hampered, increasing teh intraocular pressure.