Mastery EAQ Ch. 18

A  Oxymetazoline

B  Norepinephrine

C  Epinephrine

D  Dobutamine

A  Telling patient to insert the applicator straight into the nostrils

B  Explaining that the injection will feel like a bee sting

C  Gently pulling down on the lower eyelid

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

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  Determine that the medication is infusing at the proper rate.

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

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

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

A  Taking prescribed herbal supplements

B  Daily walk around the block

C  Slow jog in summer

D  Visiting spouse in a long-term care facility

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

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

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

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

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

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

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  Dobutamine, Midodrine, Fenoldopam

B  Dobutamine, Fenoldopam, Phenylephrine

C  Norepinephrine, Dobutamine, Fenoldopam

D  Midodrine, Phenylephrine, Norepinephrine

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

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

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

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

A  Ephedrine

B  Dipivefrin

C  Dobutamine

D  Fenoldopam

A  10 mL

B  12 mL

C  20 mL

D  15 mL

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

B  A 55-year-old with cardiac symptoms

C  A 17-year-old with bronchial asthma

D  A 32-year-old with sinusitis

A  Stop the dopamine infusion.

B  Start a second IV line in the left hand.

C  Notify the health care provider.

D  Elevate the right arm above heart level.

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  Ask the patient to rate pain intensity.

B  Take the patient’s temperature.

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

D  Count the patient’s respiratory rate.

A  After 6:00 p.m.

B  Upon waking

C  No later than 6:00 p.m.

D  At bedtime

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  Take blood pressure.

B  Check apical pulse.

C  Auscultate lungs.

D  Count respiratory rate.

A  Vasodilation and Hypotension

B  Hypotension and Tachycardia

C  Vasodilation and Tachycardia

D  Dry mouth and Restlessness

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

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

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

D  Increased filtering capacity of kidneys. Increase in contractility 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 in the morning with a full glass of water before I get out of bed.”

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

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

A  Stop the infusion.

B  Elevate the patient’s extremity.

C  Apply a cold pad to the site.

D  Immediately pull the IV.

A  Assess frequent blood pressure readings.

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

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

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

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

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

C  Administer the adrenergic drug as prescribed.

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

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

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

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

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

A  Salmeterol must be administered according to specific instructions.

B  Salmeterol can be given as needed throughout the day.

C  Salmeterol should never be combined with another inhalant.

D  Salmeterol is not designed to relieve acute symptoms.

A  “I get faint when I see needles.”

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

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

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

A  Check your pulse before taking this medication.

B  Take your temperature at the same time each day.

C  Count your respirations before taking this medication.

D  Rise slowly out of bed each morning.

A  Midodrine and Dobutamine

B  Dopamine and Epinephrine

C  Midodrine and Norepinephrine

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

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

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

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

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

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

C  “Thoroughly rinse all equipment after each usage.”

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

A  Increased cardiac contractility

B  Peripheral vasoconstriction

C  Arteriolar vasodilation

D  Elevated blood pressure

A  Decreased blood pressure

B  Increased heart rate and strong pulse

C  Increased bowel sounds

D  Bronchial constriction and wheezing

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  0700

B  1500

C  2100

D  1200

A  Increased level of magnesium

B  Increased level of calcium

C  Increased level of glucose

D  Increased level of potassium

A  Terbutaline

B  Phenylephrine

C  Dobutamine

D  Ephedrine

A  Naphazoline

B  Salmeterol

C  Epinephrine

D  Oxymetazoline

A  Opioids

B  Thyroid preparations

C  Selective serotonin reuptake inhibitors

D  Nonsteroidal antiinflammatory drugs

A  Dopamine, Epinephrine, Norepinephrine

B  Epinephrine, Dobutamine, Phenylephrine

C  Dobutamine, Phenylephrine, Dopamine

D  Norepinephrine, Dobutamine, Phenylephrine

A  Vasoconstriction

B  Mydriasis

C  Increased renin secretion

D  Ejaculation

A  Vasoconstriction

B  Increased contractility

C  Increased heart rate

D  Vasodilation

A  Bladder sphincter, Pupillary muscles of the iris, Bronchioles

B  Bladder sphincter, Pupillary muscles of the iris, Arterioles

C  Arterioles, Bronchioles, Visceral organs

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

A  Reduced therapeutic effects

B  Increased risk of hypertensive crisis

C  Increased risk for cardiac dysrhythmias

D  Increased effects of adrenergic drugs

A  Epinephrine

B  Amphetamine

C  Ephedrine

D  Albuterol

A  Beta1

B  Alpha1

C  Beta2

D  Alpha2

A  Respiratory rate

B  Skin integrity

C  Blood pressure

D  Temperature

A  0.1 mg of medication contained in 1 mL of solution

B  1 g of medication contained in 1 mL of solution

C  10 mcg of medication contained in 1 mL of solution

D  1 kg of medication contained in 1 mL of solution