WGU D116 UNIT 3 OA REVIEWED EXAM QUIZZES
WITH ACTUAL ANSWERS \GRADED A+ .
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88 beats per minute,
a respiratory rate of 24 breaths per minute, and a blood pressure of 124/78 mm Hg. The
prescriber orders a nonspecific beta-agonist medication.
Besides evaluating the patient for a reduction in respiratory distress, the nurse should monitor for
which side effect? - correct Answers -Tachycardia
Beta-agonists are used for asthma because of their B2 on bronchial smooth muscle-causes
bronchodilation
Non-specific is B2
Specific is B1 and they cause tachycardia and hypertension
A patient is experiencing toxic side effects from atropine, including delirium and hallucinations.
Which medication should the provider administer? - correct Answers -Physostigmine
A patient brought to the emergency department requires sutures. The prescriber orders a local
anesthetic with epinephrine.
The epinephrine is ordered to ___________. - correct Answers -Allow a reduced dose of the
anesthetic
Epi prolongs absorption of the anesthetic because it is an alpha 1 agonist
A patient has been diagnosed with Parkinson disease (PD) and begins treatment with carbidopa.
After several months of therapy, the patient reports no change in symptoms.
As the provider, you should do which of the following? - correct Answers -Reevaluate the dx
, There should be some therapeutic effects after several months of tx
A patient who is taking oral contraceptives begins taking valproic acid for seizures. After a week
of therapy with valproic acid, the patient tells the nurse that she is experiencing nausea.
What should the nurse do? - correct Answers -Ask the pt is she is taking the med with food
because taking the drug on an empty stomach can cause gastrointestinal side effects
A patient with cerebral palsy who has been receiving baclofen via gastrostomy tube for three
months is admitted to the hospital for evaluation of new-onset seizures.
What might you suspect to be the cause of these seizures? - correct Answers -Missed doses of
baclofen
Baclofen does not appear to cause physical dependence, but abrupt discontinuation has been
associated with adverse reactions
Abrupt withdrawal can cause visual hallucinations, paranoid ideation, and seizures
A nurse is preparing a patient to go home from the emergency department after receiving sutures
for a laceration on one hand. The provider used lidocaine with epinephrine as a local anesthetic.
Which symptom in this patient causes the most concern? - correct Answers -Nervousness and
tachycardia
If severe, alpha and beta antagonists can be given
A patient who has recurrent migraine headaches is prescribed sumatriptan. Which aspect of this
patient's history is of concern when taking this drug? - correct Answers -CAD
Serotonin receptor agonists cause vasoconstriction and coronary vasospasm
A patient who has been taking a monoamine oxidase inhibitor (MAOI) for depression for several
months tells the provider that the medication has not helped with symptoms. You plan to switch
the patient to an SSRI.
WITH ACTUAL ANSWERS \GRADED A+ .
A patient is wheezing and short of breath. The nurse assesses a heart rate of 88 beats per minute,
a respiratory rate of 24 breaths per minute, and a blood pressure of 124/78 mm Hg. The
prescriber orders a nonspecific beta-agonist medication.
Besides evaluating the patient for a reduction in respiratory distress, the nurse should monitor for
which side effect? - correct Answers -Tachycardia
Beta-agonists are used for asthma because of their B2 on bronchial smooth muscle-causes
bronchodilation
Non-specific is B2
Specific is B1 and they cause tachycardia and hypertension
A patient is experiencing toxic side effects from atropine, including delirium and hallucinations.
Which medication should the provider administer? - correct Answers -Physostigmine
A patient brought to the emergency department requires sutures. The prescriber orders a local
anesthetic with epinephrine.
The epinephrine is ordered to ___________. - correct Answers -Allow a reduced dose of the
anesthetic
Epi prolongs absorption of the anesthetic because it is an alpha 1 agonist
A patient has been diagnosed with Parkinson disease (PD) and begins treatment with carbidopa.
After several months of therapy, the patient reports no change in symptoms.
As the provider, you should do which of the following? - correct Answers -Reevaluate the dx
, There should be some therapeutic effects after several months of tx
A patient who is taking oral contraceptives begins taking valproic acid for seizures. After a week
of therapy with valproic acid, the patient tells the nurse that she is experiencing nausea.
What should the nurse do? - correct Answers -Ask the pt is she is taking the med with food
because taking the drug on an empty stomach can cause gastrointestinal side effects
A patient with cerebral palsy who has been receiving baclofen via gastrostomy tube for three
months is admitted to the hospital for evaluation of new-onset seizures.
What might you suspect to be the cause of these seizures? - correct Answers -Missed doses of
baclofen
Baclofen does not appear to cause physical dependence, but abrupt discontinuation has been
associated with adverse reactions
Abrupt withdrawal can cause visual hallucinations, paranoid ideation, and seizures
A nurse is preparing a patient to go home from the emergency department after receiving sutures
for a laceration on one hand. The provider used lidocaine with epinephrine as a local anesthetic.
Which symptom in this patient causes the most concern? - correct Answers -Nervousness and
tachycardia
If severe, alpha and beta antagonists can be given
A patient who has recurrent migraine headaches is prescribed sumatriptan. Which aspect of this
patient's history is of concern when taking this drug? - correct Answers -CAD
Serotonin receptor agonists cause vasoconstriction and coronary vasospasm
A patient who has been taking a monoamine oxidase inhibitor (MAOI) for depression for several
months tells the provider that the medication has not helped with symptoms. You plan to switch
the patient to an SSRI.
