112 Questions
Which side effect can be potentially caused by a selective beta2-adrenergic (albuterol) when administered to treat bronchospasm in a patient with asthma?
Increased heart rate
What is the safest beta blocker to give to a patient with asthma who requires treatment for cardiovascular disease?
Metoprolol (Lopressor)
Which type of receptor do selective beta-2 agonists preferentially act on?
Beta2 receptors
What is a potential side effect associated with non-selective beta blockers in patients with asthma?
Bronchospasm
What are the side effects commonly associated with beta2 adrenergic agonists?
Tachycardia and hypertension
Which beta blocker has a greater affinity for receptors that decrease heart rate and blood pressure, making it suitable for patients with asthma?
Metoprolol (Lopressor)
What is the expected effect of epinephrine administration in a patient experiencing an anaphylactic reaction?
Decreased urine output
In a patient with asthma exacerbation, what symptom might indicate overuse of albuterol?
Expiratory wheezing
What is the initial action the nurse should take if erythema and swelling are noted at the IV insertion site of a patient receiving intravenous dopamine?
Notify the provider of a need for phentolamine mesylate
What recommendation would be most appropriate for a patient experiencing side effects from beta-blockers?
Discuss the side effects with their healthcare provider
What instruction should the nurse give a patient using phenylephrine HCl (Neo-Synephrine) nasal spray?
Use this product for a maximum of 3 days
When starting an albuterol inhaler for asthma, what should the nurse advise the patient to report?
Rapid or irregular heart rate
When teaching a patient about taking atenolol (Tenormin) for hypertension, what instruction should the nurse provide regarding dosing?
The patient should rise slowly from a chair or bed
In a patient with hypertension taking doxazosin mesylate, what change might the nurse suggest if observing orthostatic hypotension and reflex tachycardia?
Changing to an alternative medication class
If a patient newly started on atenolol (Tenormin) reports dizziness, nausea, vomiting, and decreased libido, what should the nurse do?
Hold the next dose until the provider can be notified of these side effects
How do alpha-adrenergic blockers like those used for Raynaud’s disease primarily work?
Vasodilation
What is an essential skill for a patient's family to learn when the patient is discharged on a beta-blocker?
How to monitor heart rate and blood pressure
How would you categorize Reserpine based on its drug class?
Adrenergic neuron antagonist
'A patient on atenolol expresses feeling weak and fatigued', what should the nurse do?
Notify the physician about this side effect.
Which statement by a patient taking bethanechol (Urecholine) would indicate a need for further teaching?
Excessive sweating is a normal reaction to this medication.
Which health condition would raise concern when a male patient with myasthenia gravis is starting neostigmine?
Benign prostatic hypertrophy
What is the primary purpose of administering benztropine (Cogentin) in a patient with Parkinson's disease?
To suppress tremors and lessen muscle rigidity
In a postoperative patient who received atropine sulfate preoperatively, which assessment finding would require immediate provider notification?
Absent bowel sounds
Which type of drug is most likely prescribed to treat irritable bowel syndrome?
An anticholinergic
What should a nurse inform a patient about using anticholinergic medication regarding dry mouth?
Use gum or lozenges to decrease dry mouth caused by this drug.
What should the nurse do in response to the parent's report of the child's recent symptoms of nausea, vomiting, and headaches?
Ask the child whether the drug is being taken as prescribed.
What statement by the parent indicates an understanding of methylphenidate teaching for ADHD treatment?
“I should consult a pharmacist when giving my child OTC medications.”
What is the correct response by the nurse concerning weight loss drugs for children?
“Children under 12 years of age should not use weight loss drugs.”
Which drug could be used to treat neonatal apnea in an infant?
Caffeine citrate
What is a true statement about phentermine?
It is indicated for short-term use in treating obesity
What severe effects can occur from excessive caffeine consumption according to the text?
Arrhythmias and convulsions may occur.
Which diagnostic test may assist in the diagnosis of attention-deficit/hyperactivity disorder (ADHD) in a child?
EEG
Which drug is typically ordered to treat narcolepsy?
Modafinil
What side effect of methylphenidate should the nurse address with a patient experiencing difficulty sleeping?
Can cause insomnia, recommend taking before breakfast and lunch
Which statement by a parent indicates an understanding of methylphenidate administration for ADHD?
"My child should avoid products containing caffeine"
What advice should a nurse provide to a parent seeking an over-the-counter cold medication for a child on amphetamine for ADHD?
"Avoid products with pseudoephedrine and caffeine"
Which assessments are especially important for a child with ADHD taking methylphenidate HCl?
Height, weight, and blood pressure
What is the primary use of donepezil?
Treating Alzheimer's disease
For how long is the transdermal scopolamine patch designed to last?
72 hours
Why should patients with glaucoma avoid taking anticholinergic medications?
They can increase intraocular pressure
What side effect might indicate urinary retention in a patient who received atropine?
Dry mouth
In which condition should benztropine be used with caution due to potential exacerbation of symptoms?
Myasthenia gravis
What is the primary purpose of administering atropine sulfate in a patient with sinus bradycardia?
Increase heart rate
Which symptom would indicate the need to hold the administration of tolterodine tartrate in a patient with incontinence?
Absent bowel sounds
What action is appropriate for the nurse to take when the patient has diabetes mellitus and has been ordered to receive pseudoephedrine (Sudafed) for nasal congestion?
Hold the medication and contact the provider.
Why is a direct-acting cholinergic agonist drug selective to muscarinic receptors still described as non-specific?
Muscarinic receptors are present in many different tissues.
What will happen if a patient with a blood pressure of 90/60 mm Hg is administered bethanechol (Urecholine) for urinary retention?
Hold the medication and notify the provider of the decreased blood pressure.
After 30 minutes of administering bethanechol (Urecholine) for urinary retention, what should the nurse do if the patient voids 800 mL of urine, reports a loose stool, and has a blood pressure of 110/70 mm Hg?
Notify the provider of bethanechol's adverse effects.
What does an indirect-acting cholinergic agonist primarily act on?
Inhibits cholinesterase
What effect does bethanechol (Urecholine) have on a patient with a blood pressure of 90/60 mm Hg?
Hold medication and inform provider of decreased blood pressure
What should be done if a patient reports 800 mL urine output, loose stool, and 110/70 mm Hg blood pressure after taking bethanechol (Urecholine)?
Notify provider of bethanechol's adverse effects
What is the expected side effect of epinephrine administration to a patient experiencing an anaphylactic reaction?
Decreased urine output
What might be the reason for a patient with asthma exacerbation to exhibit expiratory wheezing, tremors, restlessness, and a heart rate of 120 beats per minute?
Overused the albuterol inhaler
When a patient receiving intravenous dopamine shows erythema and swelling at the IV insertion site, what should the nurse's initial action be?
Notify the provider of a need for phentolamine mesylate (Regitine)
What instruction should a nurse give a patient using phenylephrine HCl nasal spray to treat congestion from a viral upper respiratory infection?
Use this product for a maximum of 3 days
What information should the nurse include when teaching a patient about taking atenolol as add-on therapy for hypertension?
The patient should rise slowly from a chair or bed
What should the nurse do if a patient reports dizziness, nausea, vomiting, and decreased libido after starting atenolol for hypertension?
Hold the next dose until notifying the provider
What common side effect can potential occur when administering a selective beta-2 agonist to treat bronchospasm in a patient with asthma?
Increased heart rate
Which beta blocker would be the safest choice for a patient with asthma requiring treatment for cardiovascular disease?
Metoprolol (Lopressor)
What is the primary concern when a male patient with myasthenia gravis is starting neostigmine?
Bradycardia
Which effect can be potentially caused by a selective beta-2 agonist like albuterol when administered to treat bronchospasm in a patient with asthma?
Tachycardia
What is the expected impact of bethanechol (Urecholine) on a patient with a blood pressure of 90/60 mm Hg?
Decreased blood pressure
When treating urinary retention with bethanechol (Urecholine), what should the nurse do if the patient voids 800 mL of urine, reports loose stool, and has a blood pressure of 110/70 mm Hg after 30 minutes?
Hold further doses and monitor closely
Which statement best describes the action of an indirect-acting cholinergic agonist?
Inhibits cholinesterase
Why are direct-acting cholinergic agonist drugs selective to muscarinic receptors still described as non-specific?
Muscarinic receptors are present in many different tissues
What should the nurse do when preparing to administer bethanechol to a patient with a blood pressure of 90/60 mm Hg?
Hold the medication and notify the provider of decreased blood pressure
What action is appropriate for the nurse when a patient taking bethanechol reports voiding 800 mL of urine, having a loose stool, and a blood pressure of 110/70 mm Hg after administration?
Notify the provider of adverse effects
When administering pseudoephedrine to a diabetic patient with nasal congestion, what should the nurse do?
Hold the medication and contact the provider
What should be done when a patient receiving bethanechol reports voiding 800 mL of urine, experiencing loose stool, with a blood pressure of 110/70 mm Hg?
Hold medication and notify provider of adverse effects
What statement by a patient taking bethanechol (Urecholine) indicates a need for further teaching?
Excessive sweating is a normal reaction to this medication.
What would prompt the nurse to notify the provider when caring for a postoperative patient who received atropine sulfate preoperatively?
Absent bowel sounds
Which type of drug would a patient with irritable bowel syndrome most likely receive for treatment?
An anticholinergic
What would the nurse include when teaching a patient about using an anticholinergic medication?
Use gum or lozenges to decrease dry mouth caused by this drug.
What is the primary purpose of administering benztropine (Cogentin) in a patient with Parkinson's disease?
To suppress tremors and lessen muscle rigidity
Which symptom would indicate the need to hold the administration of tolterodine tartrate in a patient with incontinence?
Increased heart rate
What should a nurse inform a patient about using anticholinergic medication regarding dry mouth?
Use gum or lozenges to manage dry mouth.
Why should patients with glaucoma avoid taking anticholinergic medications?
Because they can cause mydriasis and increase intraocular pressure.
What will happen if a patient with a blood pressure of 90/60 mm Hg is administered bethanechol (Urecholine) for urinary retention?
The blood pressure may drop further.
In which condition should benztropine be used with caution due to potential exacerbation of symptoms?
Benign prostatic hypertrophy
What aspect of the patient's history would cause the nurse to hold the administration of benztropine (Cogentin) for Parkinson's disease?
Glaucoma
Which symptom in a patient with incontinence would warrant holding the administration of tolterodine tartrate (Detrol LA)?
Absent bowel sounds
In a patient intubated with sinus bradycardia, which medication would the nurse anticipate administering?
Atropine sulfate (Atropine)
What would trigger the nurse to contact the physician about the appropriateness of benztropine (Cogentin) treatment in a patient scheduled to start it for Parkinson's disease?
Myasthenia gravis
What action should the nurse perform when a patient who received atropine sulfate has a urine output less than fluid intake and reports a dry mouth?
Palpate the patient’s bladder
'Apply the patch behind the ear' is important for transdermal scopolamine use to help with:
'Change the patch every three days'
What is the appropriate action for the nurse to take when evaluating an adolescent on methylphenidate experiencing nausea, vomiting, and hyperactivity?
Ask the child about medication compliance.
What statement by a parent indicates understanding of methylphenidate administration for ADHD?
Consult a pharmacist before giving OTC medications.
What is the correct response by the nurse when asked about weight loss medications for children?
Children under 12 years should not use weight loss drugs.
In treating neonatal apnea, which drug is appropriate for use in newborns with respiratory distress?
Caffeine citrate
After excessive caffeine consumption, what potential adverse effects may a patient experience?
Arrhythmias and convulsions
What medication is typically used to treat narcolepsy?
Modafinil
For a patient diagnosed with narcolepsy, what symptom would necessitate the administration of modafinil?
Excessive daytime sleepiness
What is an essential consideration when choosing weight loss medications for obese pediatric patients?
Medications should be tailored based on age and guidelines.
A patient presents with daytime sleepiness and difficulty staying awake despite adequate sleep at night. What medication would the nurse anticipate the provider to prescribe?
Doxapram
When given a case of neonatal apnea, what drug would be appropriate for treatment?
Caffeine citrate
What is a common side effect that can result from the use of phentermine?
Dry mouth
What is the recommended time of day to administer methylphenidate to treat ADHD?
After breakfast and lunch
Which statement is true regarding the administration of methylphenidate for ADHD in children?
It should not be given with any other stimulant like caffeine.
For a child taking methylphenidate, what assessments are crucial due to the medication's effects?
Height and weight
What should a parent do when their child is taking amphetamine for ADHD and needs an over-the-counter cold medication?
Avoid products containing pseudoephedrine or caffeine.
What is a potential consequence of a child with ADHD taking medications with caffeine while on amphetamine?
Additive stimulation effects
What could be a concerning sign for a child taking ADHD medication such as methylphenidate?
Weight loss
What side effect is common in patients taking beta-adrenergic blockers?
Orthostatic hypotension
Why should a patient taking albuterol (Proventil) inhaler monitor their heart rate?
To watch for rapid or irregular heart rate
What is the primary reason a patient taking doxazosin mesylate may need a change in their drug regimen for hypertension?
Orthostatic hypotension
How do alpha-adrenergic blockers help treat Raynaud’s disease?
Vasodilation
What is a crucial skill the nurse should teach the family of a patient discharged on a beta blocker?
How to monitor heart rate and blood pressure
Which drug class does Reserpine belong to primarily?
Adrenergic neuron antagonist
If a patient complains of feeling weak and fatigued while on atenolol (Tenormin), what action should the nurse take?
Notify your physician
What should the family of a patient starting on a beta blocker learn to monitor?
Assessments to detect fluid retention
What is the main side effect that indicates potential urinary retention in a patient who received atropine?
Dry mouth
What should a nurse advise a parent seeking an over-the-counter cold medication for a child already on amphetamine for ADHD?
Select a medication without decongestants
Test your knowledge on medication history and phentermine HCl with this quiz. Learn about the indications, effects, and classification of phentermine.
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