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pharm chapter 13
chapter 13
24
Pharmacology
10/24/2011

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Term
The client receives methyldopa (Aldomet), an adrenergic drug. The nurse determines that the client is having side effects when the client makes which statement?
Definition
“I am so anxious; I really need to walk around the room.”
Term
The client receives metaproterenol (Alupent), an adrenergic drug. A consulting physician orders carteolol (Cartrol), a beta-blocker. What best describes the nurse’s assessment?
Definition
The effects of metaproterenol (Alupent) will be decreased
Term
The client receives nadolol (Corgard), a nonselective beta-adrenergic blocker. What will be the priority assessment of the nurse?
Definition
Bronchoconstriction
Term
The nurse has been doing medication education for the client receiving atenolol (Tenormin), a beta-blocker. The nurse determines that learning has occurred when the client makes which statement?
Definition
“I need to take my pulse every day.”
Term
The physician ordered prazosin (Minipress), an alpha-adrenergic blocker, for the client. The nurse plans to do medication education. What will the best plan of the nurse include?
Definition
Instruct the client to not take hot tub baths or hot showers.
Term
The nurse has completed medication education about pyridostigmine (Mestinon), an indirect cholinergic drug, for the client with myasthenia gravis. The nurse determines that learning has occurred when the client makes which statement?
Definition
“It is really important to take my medication on time.”
Term
The physician has ordered bethanechol (Urecholine), a cholinergic drug, for the client with urinary retention. The client also has an enlarged prostate gland. What is the priority action by the nurse?
Definition
2. Hold the drug and contact the physician.
Term
The pre-op client will be receiving glycopyrrolate (Robinul), an anticholin-ergic drug, and asks the nurse “Why do I need to have that shot?” What is the best response by the nurse?
Definition
“It will decrease your respiratory secretions during surgery.”
Term
The nurse is preparing to administer medications to a group of clients. One of the medications is benztropine (Cogentin), an anticholinergic drug. This drug is contraindicated in which client?
Definition
The client with tachycardia
Term
The nurse is preparing to administer medications to a group of clients. One of the medications is atropine, an anticholinergic drug. This drug is contraindicated in which client?
Definition
The client with glaucoma
Term
The physician orders dicyclomine (Bentyl), an anticholinergic drug, for a client. What is the nurse’s priority assessment prior to administering this drug?
Definition
Is the client able to urinate?
Term
The client is quadriplegic and receives oxybutynin (Ditropan), an anticholinergic drug, to increase his bladder capacity. What is an important assessment of this client by the nurse?
Definition
Is he constipated?
Term
The nursing instructor teaches the student nurses about the nervous system. The instructor determines that learning has occurred when the students make which statement(s)? Select all that apply.
Definition
1.“The central nervous system includes the brain and spinal cord.”
has mainly sensory functions.”
3.“The somatic nervous system gives us voluntary control over moving.”
5."The nervous system helps us react to environmental changes.”
Term
The nursing instructor teaches the student nurses about the autonomic nervous system. The instructor determines that learning has occurred when the students make which statement(s)? Select all that apply.
Definition
1.“The parasympathetic nervous system causes bronchial constriction.”
2.“The sympathetic and parasympathetic systems are not always opposite in their effects.”
3.“The sympathetic nervous system is activated under stress.”
Term
The student nurse asks the nursing instructor “Do the medications we are studying actually make more neurotransmitters?” What is the best response by the nursing instructor?
Definition
“No, medications can only increase or decrease the action of neurotransmitters.”
Term
The ability of a person to use his arm muscles to lift a weight is primarily regulated by:
Definition
3. The somatic nervous system.
Term
Which of the following responses are regulated by the sympathetic nervous system?
Definition
3. Relaxation of bladder, pupil dilation
Term
A person who had her adrenergic receptors activated would experience:
Definition
2. Fight-or-flight effects.
Term
Which of the following would inhibit the function of the autonomic nervous system?
Definition
1. Drugs that prevent the storage of neurotransmitter in vesicles
Term
Which of the following drug actions would be most likely to produce a bronchospasm in a patient suffering from asthma?
Definition
A drug that blocked beta1 and beta2 receptors
Term
Which receptor type is found at the ganglionic synapse of both the sympathetic and parasympathetic nervous systems?
Definition
Nicotinic
Term
22 Which statement is accurate concerning drugs classified as adrenergic antagonists?
Definition
Their actions are the opposite of those of sympathomimetics.
Term
Which of the following statements is accurate regarding exogenous acetylcholine?
Definition
Acetylcholine has almost no therapeutic effects because it is rapidly destroyed once given.
Term
The nurse knows that atropine (Atropair) increases heart rate by:
Definition
Blocking the effects of acetylcholine by occupying muscarinic receptors.