TEST BANK COMPLETE - LEHNE'S
PHARMACOLOGY FOR NURSING
CARE, 12TH EDITION JACQUELINE
BURCHUM, LAURA ROSENTHAL
LATEST EDITION ALL CHAPTERS
COVERED GRANTEED PASS.
A nursing student asks the nurse about receptor specificity of adrenergic
agonist medications. What will the nurse say?
a.
"As the dosage of these medications increases, drugs in this class are more
selective."
b.
"Dopamine is selective for dopamine receptors and has no effects on alpha
or beta receptors."
c.
"Epinephrine is the most selective alpha-adrenergic agonist medication."
d.
"Specificity is relative and is dose dependent."
d
,A patient brought to the emergency department requires sutures. The
prescriber orders a local anesthetic with epinephrine. The nurse understands
that epinephrine is ordered to:
a.
prevent hypertension induced by the anesthetic.
b.
allow a reduced dose of the anesthetic.
c.
reduce anesthetic-induced nausea.
d.
reduce the pain of an injection.
b
A nurse is administering intravenous dopamine [Intropin] to a patient in the
intensive care unit. Which assessment finding would cause the most
concern?
a.
Blood pressure of 100/70 mm Hg
b.
Increased urine output
c.
Edema at the IV insertion site
d.
Headache
c
,A patient with asthma uses albuterol [Ventolin] for wheezing. The nurse
assesses the patient and notes vital signs of HR, 96 beats per minute; RR, 18
breaths per minute; and BP, 116/78 mm Hg. The patient has clear breath
sounds and hand tremors. What will the nurse do?
a.
Ask the patient how often the inhaler is used.
b.
Check the patient's blood glucose level.
c.
Request an order for isoproterenol [Isuprel] to reduce side effects.
d.
Stop the medication and report the tremors to the provider.
a
A nurse is teaching parents how to use an Epi-Pen for their child, who has a
peanut allergy. Which statement by the parents indicates understanding of
the teaching?
a.
"After using the Epi-Pen, we must go to the emergency department."
b.
"The Epi-Pen should be stored in the refrigerator, because epinephrine is
sensitive to heat."
c.
"The teacher should call us when symptoms start so that we can bring the
Epi-Pen to school."
d.
"We should jab the device into the thigh until it is empty of solution."
, a
Because they cause vasoconstriction, alpha1-adrenergic agonists are
especially useful for:
a.
causing hemostasis in skin and mucous membranes.
b.
producing mydriasis to facilitate ophthalmic examinations.
c.
slowing the heart rate in tachycardic patients.
d.
treating hypotension.
a
patient is admitted to the intensive care unit for treatment of shock. The
prescriber orders isoproterenol [Isuprel]. The nurse expects this drug to
increase tissue perfusion in this patient by activating:
a.
alpha1 receptors to cause vasoconstriction.
b.
alpha1 receptors to increase blood pressure.
c.
beta1 receptors to cause a positive inotropic effect.
d.
beta2 receptors to cause bronchodilation.
c
PHARMACOLOGY FOR NURSING
CARE, 12TH EDITION JACQUELINE
BURCHUM, LAURA ROSENTHAL
LATEST EDITION ALL CHAPTERS
COVERED GRANTEED PASS.
A nursing student asks the nurse about receptor specificity of adrenergic
agonist medications. What will the nurse say?
a.
"As the dosage of these medications increases, drugs in this class are more
selective."
b.
"Dopamine is selective for dopamine receptors and has no effects on alpha
or beta receptors."
c.
"Epinephrine is the most selective alpha-adrenergic agonist medication."
d.
"Specificity is relative and is dose dependent."
d
,A patient brought to the emergency department requires sutures. The
prescriber orders a local anesthetic with epinephrine. The nurse understands
that epinephrine is ordered to:
a.
prevent hypertension induced by the anesthetic.
b.
allow a reduced dose of the anesthetic.
c.
reduce anesthetic-induced nausea.
d.
reduce the pain of an injection.
b
A nurse is administering intravenous dopamine [Intropin] to a patient in the
intensive care unit. Which assessment finding would cause the most
concern?
a.
Blood pressure of 100/70 mm Hg
b.
Increased urine output
c.
Edema at the IV insertion site
d.
Headache
c
,A patient with asthma uses albuterol [Ventolin] for wheezing. The nurse
assesses the patient and notes vital signs of HR, 96 beats per minute; RR, 18
breaths per minute; and BP, 116/78 mm Hg. The patient has clear breath
sounds and hand tremors. What will the nurse do?
a.
Ask the patient how often the inhaler is used.
b.
Check the patient's blood glucose level.
c.
Request an order for isoproterenol [Isuprel] to reduce side effects.
d.
Stop the medication and report the tremors to the provider.
a
A nurse is teaching parents how to use an Epi-Pen for their child, who has a
peanut allergy. Which statement by the parents indicates understanding of
the teaching?
a.
"After using the Epi-Pen, we must go to the emergency department."
b.
"The Epi-Pen should be stored in the refrigerator, because epinephrine is
sensitive to heat."
c.
"The teacher should call us when symptoms start so that we can bring the
Epi-Pen to school."
d.
"We should jab the device into the thigh until it is empty of solution."
, a
Because they cause vasoconstriction, alpha1-adrenergic agonists are
especially useful for:
a.
causing hemostasis in skin and mucous membranes.
b.
producing mydriasis to facilitate ophthalmic examinations.
c.
slowing the heart rate in tachycardic patients.
d.
treating hypotension.
a
patient is admitted to the intensive care unit for treatment of shock. The
prescriber orders isoproterenol [Isuprel]. The nurse expects this drug to
increase tissue perfusion in this patient by activating:
a.
alpha1 receptors to cause vasoconstriction.
b.
alpha1 receptors to increase blood pressure.
c.
beta1 receptors to cause a positive inotropic effect.
d.
beta2 receptors to cause bronchodilation.
c
