Mastery EAQ Ch. 18

A  Norepinephrine

B  Epinephrine

C  Oxymetazoline

D  Dobutamine

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

B  Gently pulling down on the lower eyelid

C  Explaining that the injection will feel like a bee sting

D  Telling patient to insert the applicator straight into the nostrils

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

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

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

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

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

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

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

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

A  Slow jog in summer

B  Daily walk around the block

C  Taking prescribed herbal supplements

D  Visiting spouse in a long-term care facility

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

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

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

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

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

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

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

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

A  Midodrine, Phenylephrine, Norepinephrine

B  Dobutamine, Midodrine, Fenoldopam

C  Norepinephrine, Dobutamine, Fenoldopam

D  Dobutamine, Fenoldopam, Phenylephrine

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

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

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

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

A  Dobutamine

B  Ephedrine

C  Dipivefrin

D  Fenoldopam

A  15 mL

B  10 mL

C  12 mL

D  20 mL

A  A 32-year-old with sinusitis

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

C  A 17-year-old with bronchial asthma

D  A 55-year-old with cardiac symptoms

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  Wheezing bilaterally, Decreased urinary output, Pink skin color

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

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

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

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

B  Take the patient’s temperature.

C  Ask the patient to rate pain intensity.

D  Count the patient’s respiratory rate.

A  No later than 6:00 p.m.

B  At bedtime

C  Upon waking

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.
Seek immediate medical attention for chest pain, palpitations, or seizures.

B  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.

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.
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.

A  Auscultate lungs.

B  Take blood pressure.

C  Check apical pulse.

D  Count respiratory rate.

A  Vasodilation and Hypotension

B  Hypotension and Tachycardia

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

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

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

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

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

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

A  Immediately pull the IV.

B  Stop the infusion.

C  Apply a cold pad to the site.

D  Elevate the patient’s extremity.

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

B  Assess frequent blood pressure readings.

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

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

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

B  Administer the adrenergic drug as prescribed.

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

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

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

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

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

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

A  Salmeterol can be given as needed throughout the day.

B  Salmeterol should never be combined with another inhalant.

C  Salmeterol is not designed to relieve acute symptoms.

D  Salmeterol must be administered according to specific instructions.

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

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

C  “I get faint when I see needles.”

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

A  Rise slowly out of bed each morning.

B  Take your temperature at the same time each day.

C  Count your respirations before taking this medication.

D  Check your pulse before taking this medication.

A  Midodrine and Norepinephrine

B  Norepinephrine and Dobutamine

C  Dopamine and Epinephrine

D  Midodrine and Dobutamine

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

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

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

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

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

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

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

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

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

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

C  “Thoroughly rinse all equipment after each usage.”

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

A  Arteriolar vasodilation

B  Elevated blood pressure

C  Peripheral vasoconstriction

D  Increased cardiac contractility

A  Increased heart rate and strong pulse

B  Decreased blood pressure

C  Bronchial constriction and wheezing

D  Increased bowel sounds

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

B  Check the site every hour for evidence of swelling.

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

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

A  2100

B  0700

C  1500

D  1200

A  Increased level of magnesium

B  Increased level of calcium

C  Increased level of glucose

D  Increased level of potassium

A  Phenylephrine

B  Ephedrine

C  Terbutaline

D  Dobutamine

A  Naphazoline

B  Oxymetazoline

C  Salmeterol

D  Epinephrine

A  Thyroid preparations

B  Opioids

C  Nonsteroidal antiinflammatory drugs

D  Selective serotonin reuptake inhibitors

A  Epinephrine, Dobutamine, Phenylephrine

B  Dobutamine, Phenylephrine, Dopamine

C  Norepinephrine, Dobutamine, Phenylephrine

D  Dopamine, Epinephrine, Norepinephrine

A  Vasoconstriction

B  Mydriasis

C  Ejaculation

D  Increased renin secretion

A  Increased contractility

B  Increased heart rate

C  Vasodilation

D  Vasoconstriction

A  Arterioles, Bronchioles, Visceral organs

B  Bladder sphincter, Pupillary muscles of the iris, Bronchioles

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

D  Bladder sphincter, Pupillary muscles of the iris, Arterioles

A  Increased risk for cardiac dysrhythmias

B  Increased risk of hypertensive crisis

C  Increased effects of adrenergic drugs

D  Reduced therapeutic effects

A  Albuterol

B  Epinephrine

C  Ephedrine

D  Amphetamine

A  Beta1

B  Beta2

C  Alpha2

D  Alpha1

A  Blood pressure

B  Skin integrity

C  Respiratory rate

D  Temperature

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