NRSG 106 Exam 1 Ch. 1-4, 30-31, and 43-44 Questions With Complete Solutions

After teaching a group of students about beta-1 selective blockers, the instructor determines that the teaching was successful when the students identify what as a contraindication to using this group of drugs? correct answer: Sinus bradycardia A client has received a dose of dopamine intravenously. The client's IV was infiltrated, and the dopamine was injected into the subcutaneous tissues. Which medication will prevent the vasoconstriction and tissue necrosis based on this action? correct answer: Phentolamine mesylate (Regitine) After administering the oral form of labetalol to a patient, the nurse would monitor the patient for a peak drug effect at which time? correct answer: 1-2 hours A client has been prescribed an adrenergic blocking drug for glaucoma. Which nursing interventions should the nurse include when teaching the client? correct answer: Demonstrate the technique of eye drop instillation A nurse is caring for a client in the critical care unit. Phentolamine (Regitine, OraVerse) has been ordered for the management of tissue necrosis caused by extravasation of parenterally administered drugs. Before administering this drug, the nurse will check the client's chart for indications of: correct answer: history of acute MI A client has been prescribed labetalol. What assessment evaluates the effectiveness of the medication? correct answer: a decrease from baseline blood pressure A client calls the cardiology office and reports fatigue and drowsiness since starting a new medication. The nurse knows that which medications has these as common side effects? correct answer: carvedilol A client has been prescribed the nonselective beta-adrenergic blocker, timolol for the treatment of open angle glaucoma. What instructions should the nurse provide to assure the effectiveness of the medication? correct answer: the proper method for instilling eye drops The student nurses are learning about drugs that act on the ANS. The students should learn that adrenergic blocking agents prevent which neurotransmitters from being released and causing SNS effects to be blocked? correct answer: Norepinephrine A patient has a history of smoking. Which agent would the nurse most likely expect to be ordered? correct answer: atenolol The nurse is providing medication education to a client prescribed an adrenergic blocker. Which nervous system is the specific focus of this classification of medications? correct answer: sympathetic A 71-year-old black woman with a history of diabetes for a follow-up appointment after visiting ED for increased angina. As a beta2 receptor blockade has been prescribed to better control the chest pain, what other teaching is very important about this pharmacological intervention? correct answer: Beta2 receptor blockade use results in less effective glucose metabolism, especially when accompanied with anti-diabetic medications.