Mastery EAQ Ch. 18

A  Dobutamine

B  Epinephrine

C  Oxymetazoline

D  Norepinephrine

A  Explaining that the injection will feel like a bee sting

B  Gently pulling down on the lower eyelid

C  Telling patient to insert the applicator straight into the nostrils

D  Asking the patient to turn the right ear toward the ceiling

A  “I will give myself one puff twice a day at 7:00 a.m. and 7:00 p.m.”

B  “I will give myself two puffs at bedtime; that’s when I really need it.”

C  “I will give myself a puff anytime I start to experience asthmatic symptoms.”

D  “I will give myself two puffs three times a day, at 7:00 a.m., noon, and bedtime.”

A  Verify that the patient understands why the medication is being given.

B  Verify that the medication is mixed with the proper diluent.

C  Determine that the medication is infusing at the proper rate.

D  Check the patient’s intravenous site hourly for infiltration.

A  Visiting spouse in a long-term care facility

B  Daily walk around the block

C  Slow jog in summer

D  Taking prescribed herbal supplements

A  “You need to ask your health care provider questions like that.”

B  “No, in this case, one drug is not enough to do what’s needed for you.”

C  “I will arrange for the pharmacist to do a presentation for you.”

D  “Sometimes use of more than one drug will give a combined therapeutic effect.”

A  “Do not allow the eye dropper to touch the eye when administering the medication.”

B  “Administer the eye drops directly onto the eye itself.”

C  “Make sure that the medication is a clear solution before administering.”

D  “Make sure that the medication vial has a clearly documented expiration date.”

A  Norepinephrine, Dobutamine, Fenoldopam

B  Midodrine, Phenylephrine, Norepinephrine

C  Dobutamine, Fenoldopam, Phenylephrine

D  Dobutamine, Midodrine, Fenoldopam

A  Listen to breath sounds. Auscultate bowel sounds. Assess blood pressure.

B  Listen to breath sounds. Auscultate bowel sounds. Check level of consciousness.

C  Monitor pulse rate. Assess blood pressure. Palpate fundal firmness.

D  Palpate fundal firmness. Auscultate bowel sounds. Check level of consciousness.

A  Fenoldopam

B  Ephedrine

C  Dobutamine

D  Dipivefrin

A  12 mL

B  20 mL

C  10 mL

D  15 mL

A  A 72-year-old who has an ophthalmic condition

B  A 32-year-old with sinusitis

C  A 55-year-old with cardiac symptoms

D  A 17-year-old with bronchial asthma

A  Stop the dopamine infusion.

B  Notify the health care provider.

C  Elevate the right arm above heart level.

D  Start a second IV line in the left hand.

A  Pink skin color, +2 peripheral pulses, Pulse rate 60 to 100 beats/min

B  Pulse rate 60 to 100 beats/min, Wheezing bilaterally, Decreased urinary output

C  Wheezing bilaterally, +2 peripheral pulses, Decreased urinary output

D  Wheezing bilaterally, Decreased urinary output, Pink skin color

A  Obtain a 12-lead electrocardiogram (ECG) at the bedside.

B  Ask the patient to rate pain intensity.

C  Count the patient’s respiratory rate.

D  Take the patient’s temperature.

A  No later than 6:00 p.m.

B  Upon waking

C  At bedtime

D  After 6:00 p.m.

A  Avoid excessive stress and heat.
Slowly change positions from lying to sitting to standing.
Monitor and record your blood pressure and heart rate at home.
Add herbal supplements to improve cardiovascular health.

B  Avoid excessive stress and heat.
Slowly change positions from lying to sitting to standing.
Monitor and record your blood pressure and heart rate at home.
Seek immediate medical attention for chest pain, palpitations, or seizures.

C  Add herbal supplements to improve cardiovascular health.
Slowly change positions from lying to sitting to standing.
Monitor and record your blood pressure and heart rate at home.
Seek immediate medical attention for chest pain, palpitations, or seizures.

D  Avoid excessive stress and heat.
Add herbal supplements to improve cardiovascular health.
Monitor and record your blood pressure and heart rate at home.
Seek immediate medical attention for chest pain, palpitations, or seizures.

A  Take blood pressure.

B  Check apical pulse.

C  Auscultate lungs.

D  Count respiratory rate.

A  Hypotension and Tachycardia

B  Vasodilation and Hypotension

C  Dry mouth and Restlessness

D  Vasodilation and Tachycardia

A  Increase in cardiac output. Increased filtering capacity of kidneys.

B  Increased filtering capacity of kidneys. Increase in contractility of the heart muscle.

C  Diminished stroke volume of the heart. Decline in efficiency of the heart muscle

D  Increase in contractility of the heart muscle. Increase in cardiac output.

A  “I will take the first dose midmorning after I have been up for a couple of hours.”

B  “I will take the first dose in the morning with a full glass of water before I get out of bed.”

C  “I will take the first dose with just a sip of water after I get up each morning.”

D  “I will take the first dose after I get up in the morning and have eaten my breakfast.”

A  Stop the infusion.

B  Apply a cold pad to the site.

C  Elevate the patient’s extremity.

D  Immediately pull the IV.

A  Assess the patient’s respiratory rate and measure arterial blood gases.

B  Assess the patient’s electrocardiogram and slow the infusion.

C  Assess the patient’s intake and output and decrease intravenous fluids.

D  Assess frequent blood pressure readings.

A  Administer the adrenergic drug as prescribed.

B  Plan for the health care provider decreasing the dose of the adrenergic drug.

C  Closely monitor the patient during treatment for evidence of side effects.

D  Hold the dose of the adrenergic drug and notify the health care provider of the use of the MAOI medication.

A  “I will use the bronchodilator drug in the morning and the corticosteroid at bedtime.”

B  “I will use the bronchodilator first and then immediately follow with the corticosteroid inhalant.”

C  “I will use both of the drugs in the morning and both again at bedtime to get the full effect.”

D  “I will use the bronchodilator first, wait 5 minutes, and then use the corticosteroid inhalant.”

A  Salmeterol is not designed to relieve acute symptoms.

B  Salmeterol should never be combined with another inhalant.

C  Salmeterol must be administered according to specific instructions.

D  Salmeterol can be given as needed throughout the day.

A  “I get faint when I see needles.”

B  “I’m getting over a cold I’ve had for 3 days.”

C  “I am taking a new medicine for high blood pressure.”

D  “I break out in a rash when I take antibiotics.”

A  Rise slowly out of bed each morning.

B  Count your respirations before taking this medication.

C  Take your temperature at the same time each day.

D  Check your pulse before taking this medication.

A  Norepinephrine and Dobutamine

B  Midodrine and Dobutamine

C  Dopamine and Epinephrine

D  Midodrine and Norepinephrine

A  Reassure the patient that this is an expected side effect of the medication.

B  Instruct the patient to maintain a symptom diary documenting the incidence of the headaches.

C  Ask what over-the-counter medications the patient uses to treat headaches.

D  Take the patient’s blood pressure and notify the prescribing health care provider.

A  The patient can correctly state three side effects of the medication.

B  The patient awakens easily during the nurse’s morning rounds and states, “I feel fine.”

C  The patient’s respiratory rate is 16 breaths/min, and blood pressure is 130/72 mm Hg.

D  The patient is alert to time, person, and place and makes coherent conversation.

A  “Inspect your mouth frequently for evidence of irritation.”

B  “Thoroughly rinse your mouth after using the medication.”

C  “Make certain there is a waiting period between using the medications.”

D  “Thoroughly rinse all equipment after each usage.”

A  Elevated blood pressure

B  Increased cardiac contractility

C  Arteriolar vasodilation

D  Peripheral vasoconstriction

A  Increased bowel sounds

B  Increased heart rate and strong pulse

C  Decreased blood pressure

D  Bronchial constriction and wheezing

A  Assess blood pressures in the patient’s other arm.

B  Encourage the patient to call if the site becomes painful.

C  Check the site every hour for evidence of swelling.

D  Encourage the patient to lie with her arm held completely straight.

A  1200

B  1500

C  2100

D  0700

A  Increased level of magnesium

B  Increased level of potassium

C  Increased level of glucose

D  Increased level of calcium

A  Phenylephrine

B  Terbutaline

C  Dobutamine

D  Ephedrine

A  Oxymetazoline

B  Naphazoline

C  Salmeterol

D  Epinephrine

A  Thyroid preparations

B  Nonsteroidal antiinflammatory drugs

C  Selective serotonin reuptake inhibitors

D  Opioids

A  Dobutamine, Phenylephrine, Dopamine

B  Epinephrine, Dobutamine, Phenylephrine

C  Norepinephrine, Dobutamine, Phenylephrine

D  Dopamine, Epinephrine, Norepinephrine

A  Ejaculation

B  Increased renin secretion

C  Vasoconstriction

D  Mydriasis

A  Vasodilation

B  Increased contractility

C  Increased heart rate

D  Vasoconstriction

A  Arterioles, Bronchioles, Visceral organs

B  Bladder sphincter, Pupillary muscles of the iris, Bronchioles

C  Bladder sphincter, Pupillary muscles of the iris, Arterioles

D  Visceral organs, Bladder sphincter, Pupillary muscles of the iris

A  Increased effects of adrenergic drugs

B  Reduced therapeutic effects

C  Increased risk for cardiac dysrhythmias

D  Increased risk of hypertensive crisis

A  Amphetamine

B  Epinephrine

C  Albuterol

D  Ephedrine

A  Alpha2

B  Beta1

C  Alpha1

D  Beta2

A  Respiratory rate

B  Blood pressure

C  Temperature

D  Skin integrity

A  10 mcg of medication contained in 1 mL of solution

B  0.1 mg of medication contained in 1 mL of solution

C  1 kg of medication contained in 1 mL of solution

D  1 g of medication contained in 1 mL of solution