Mastery EAQ Ch. 18

A  Norepinephrine

B  Epinephrine

C  Dobutamine

D  Oxymetazoline

A  Gently pulling down on the lower eyelid

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

C  Telling patient to insert the applicator straight into the nostrils

D  Explaining that the injection will feel like a bee sting

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

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

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

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

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  Slow jog in summer

C  Daily walk around the block

D  Taking prescribed herbal supplements

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

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

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

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

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

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

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

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

A  Norepinephrine, Dobutamine, Fenoldopam

B  Midodrine, Phenylephrine, Norepinephrine

C  Dobutamine, Fenoldopam, Phenylephrine

D  Dobutamine, Midodrine, Fenoldopam

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

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

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

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

A  Ephedrine

B  Fenoldopam

C  Dipivefrin

D  Dobutamine

A  15 mL

B  12 mL

C  20 mL

D  10 mL

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

B  A 17-year-old with bronchial asthma

C  A 55-year-old with cardiac symptoms

D  A 32-year-old with sinusitis

A  Elevate the right arm above heart level.

B  Stop the dopamine infusion.

C  Notify the health care provider.

D  Start a second IV line in the left hand.

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

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

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

D  Wheezing bilaterally, Decreased urinary output, Pink skin color

A  Take the patient’s temperature.

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

C  Ask the patient to rate pain intensity.

D  Count the patient’s respiratory rate.

A  Upon waking

B  No later than 6:00 p.m.

C  At bedtime

D  After 6:00 p.m.

A  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.

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  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.

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  Count respiratory rate.

B  Check apical pulse.

C  Take blood pressure.

D  Auscultate lungs.

A  Hypotension and Tachycardia

B  Dry mouth and Restlessness

C  Vasodilation and Tachycardia

D  Vasodilation and Hypotension

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

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

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

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

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

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

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 intake and output and decrease intravenous fluids.

B  Assess frequent blood pressure readings.

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

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

A  Administer the adrenergic drug as prescribed.

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

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 drug in the morning and the corticosteroid at bedtime.”

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

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

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

A  Salmeterol should never be combined with another inhalant.

B  Salmeterol must be administered according to specific instructions.

C  Salmeterol is not designed to relieve acute symptoms.

D  Salmeterol can be given as needed throughout the day.

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

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

C  “I get faint when I see needles.”

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

A  Check your pulse before taking this medication.

B  Take your temperature at the same time each day.

C  Rise slowly out of bed each morning.

D  Count your respirations before taking this medication.

A  Dopamine and Epinephrine

B  Midodrine and Norepinephrine

C  Norepinephrine and Dobutamine

D  Midodrine and Dobutamine

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

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

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

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

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

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

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

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

A  “Thoroughly rinse all equipment after each usage.”

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

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

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

A  Peripheral vasoconstriction

B  Arteriolar vasodilation

C  Increased cardiac contractility

D  Elevated blood pressure

A  Decreased blood pressure

B  Increased bowel sounds

C  Bronchial constriction and wheezing

D  Increased heart rate and strong pulse

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

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

C  Check the site every hour for evidence of swelling.

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

A  0700

B  2100

C  1200

D  1500

A  Increased level of glucose

B  Increased level of calcium

C  Increased level of potassium

D  Increased level of magnesium

A  Dobutamine

B  Terbutaline

C  Phenylephrine

D  Ephedrine

A  Naphazoline

B  Salmeterol

C  Oxymetazoline

D  Epinephrine

A  Opioids

B  Thyroid preparations

C  Nonsteroidal antiinflammatory drugs

D  Selective serotonin reuptake inhibitors

A  Epinephrine, Dobutamine, Phenylephrine

B  Dopamine, Epinephrine, Norepinephrine

C  Norepinephrine, Dobutamine, Phenylephrine

D  Dobutamine, Phenylephrine, Dopamine

A  Ejaculation

B  Increased renin secretion

C  Mydriasis

D  Vasoconstriction

A  Vasoconstriction

B  Increased heart rate

C  Vasodilation

D  Increased contractility

A  Bladder sphincter, Pupillary muscles of the iris, Bronchioles

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

C  Bladder sphincter, Pupillary muscles of the iris, Arterioles

D  Arterioles, Bronchioles, Visceral organs

A  Increased effects of adrenergic drugs

B  Increased risk of hypertensive crisis

C  Reduced therapeutic effects

D  Increased risk for cardiac dysrhythmias

A  Albuterol

B  Epinephrine

C  Amphetamine

D  Ephedrine

A  Beta1

B  Beta2

C  Alpha2

D  Alpha1

A  Respiratory rate

B  Skin integrity

C  Temperature

D  Blood pressure

A  1 g of medication contained in 1 mL of solution

B  1 kg of medication contained in 1 mL of solution

C  0.1 mg of medication contained in 1 mL of solution

D  10 mcg of medication contained in 1 mL of solution