Podcast
Questions and Answers
What is a potential side effect of administering albuterol to a patient with asthma?
What is a potential side effect of administering albuterol to a patient with asthma?
- Increased drowsiness
- Decreased blood pressure
- Increased heart rate (correct)
- Increased gastrointestinal (GI) motility
Which side effect is NOT generally associated with adrenergic agonists?
Which side effect is NOT generally associated with adrenergic agonists?
- Tachycardia
- Hypertension
- Increased drowsiness (correct)
- Decreased GI motility
Which beta blocker would be the safest choice for a patient with asthma and cardiovascular disease?
Which beta blocker would be the safest choice for a patient with asthma and cardiovascular disease?
- Pindolol (Visken)
- Metoprolol (Lopressor) (correct)
- Propranolol (Inderal)
- Nadolol (Corgard)
What is the main benefit of Metoprolol over other beta blockers in patients with both asthma and cardiovascular disease?
What is the main benefit of Metoprolol over other beta blockers in patients with both asthma and cardiovascular disease?
Which receptor do selective beta2 agonists like albuterol preferentially act on?
Which receptor do selective beta2 agonists like albuterol preferentially act on?
What side effect is commonly associated with beta1 receptor activation by adrenergic agonists?
What side effect is commonly associated with beta1 receptor activation by adrenergic agonists?
What is the expected outcome when a nurse administers epinephrine to a patient experiencing an anaphylactic reaction?
What is the expected outcome when a nurse administers epinephrine to a patient experiencing an anaphylactic reaction?
Why might a nurse suspect that a patient experiencing asthma exacerbation has overused albuterol?
Why might a nurse suspect that a patient experiencing asthma exacerbation has overused albuterol?
What action should a nurse take upon noting erythema and swelling at the IV insertion site of a patient receiving intravenous dopamine (Intropin)?
What action should a nurse take upon noting erythema and swelling at the IV insertion site of a patient receiving intravenous dopamine (Intropin)?
What instruction should a nurse give to a patient using phenylephrine HCl (Neo-Synephrine) nasal spray to treat congestion from a viral upper respiratory infection?
What instruction should a nurse give to a patient using phenylephrine HCl (Neo-Synephrine) nasal spray to treat congestion from a viral upper respiratory infection?
When teaching a patient about taking atenolol (Tenormin) for hypertension, what information should the nurse include?
When teaching a patient about taking atenolol (Tenormin) for hypertension, what information should the nurse include?
A patient taking atenolol (Tenormin) reports dizziness, nausea, vomiting, and decreased libido. What should the nurse do?
A patient taking atenolol (Tenormin) reports dizziness, nausea, vomiting, and decreased libido. What should the nurse do?
What is the primary purpose of benztropine (Cogentin) in patients with Parkinson's disease?
What is the primary purpose of benztropine (Cogentin) in patients with Parkinson's disease?
Which side effect would prompt the nurse to notify the provider in a patient who received atropine sulfate preoperatively?
Which side effect would prompt the nurse to notify the provider in a patient who received atropine sulfate preoperatively?
What type of drug would a patient with irritable bowel syndrome most likely receive for treatment?
What type of drug would a patient with irritable bowel syndrome most likely receive for treatment?
Which statement is true about phentermine?
Which statement is true about phentermine?
When taking an anticholinergic medication, what should patients do to counter the side effect of dry mouth?
When taking an anticholinergic medication, what should patients do to counter the side effect of dry mouth?
What diagnostic test may be ordered to assist with a diagnosis of ADHD in a child with symptoms of inattention and hyperactivity?
What diagnostic test may be ordered to assist with a diagnosis of ADHD in a child with symptoms of inattention and hyperactivity?
Which statement by a patient indicates a need for further teaching about bethanechol (Urecholine)?
Which statement by a patient indicates a need for further teaching about bethanechol (Urecholine)?
Why should methylphenidate be taken before breakfast and lunch?
Why should methylphenidate be taken before breakfast and lunch?
What would be a concerning health history that the nurse should investigate before administering neostigmine to a male patient with myasthenia gravis?
What would be a concerning health history that the nurse should investigate before administering neostigmine to a male patient with myasthenia gravis?
What should a parent understand about giving methylphenidate to their child for ADHD?
What should a parent understand about giving methylphenidate to their child for ADHD?
What would be a crucial monitoring parameter when a patient is prescribed bethanechol (Urecholine)?
What would be a crucial monitoring parameter when a patient is prescribed bethanechol (Urecholine)?
What advice should a nurse give to a parent of a child on amphetamine for ADHD who asks about over-the-counter cold medications?
What advice should a nurse give to a parent of a child on amphetamine for ADHD who asks about over-the-counter cold medications?
Why are anticholinergic drugs like benztropine used in Parkinson's disease?
Why are anticholinergic drugs like benztropine used in Parkinson's disease?
For a child taking methylphenidate, which assessments are particularly important during clinic visits?
For a child taking methylphenidate, which assessments are particularly important during clinic visits?
During which stage of sleep do vivid dreams occur?
During which stage of sleep do vivid dreams occur?
When do nightmares commonly occur in children?
When do nightmares commonly occur in children?
What non-pharmacologic measure may help with sleep difficulties according to the text?
What non-pharmacologic measure may help with sleep difficulties according to the text?
Which stage of sleep is related to nightmares in children?
Which stage of sleep is related to nightmares in children?
What is the recommended approach for promoting sleep without medication?
What is the recommended approach for promoting sleep without medication?
Which statement best describes the action of an indirect-acting cholinergic agonist?
Which statement best describes the action of an indirect-acting cholinergic agonist?
Why are direct-acting cholinergic agonist drugs selective to muscarinic receptors sometimes considered non-specific?
Why are direct-acting cholinergic agonist drugs selective to muscarinic receptors sometimes considered non-specific?
If a patient has a blood pressure of 90/60 mm Hg, what is the appropriate action before administering bethanechol (Urecholine) for urinary retention?
If a patient has a blood pressure of 90/60 mm Hg, what is the appropriate action before administering bethanechol (Urecholine) for urinary retention?
After voiding 800 mL of urine, a patient taking bethanechol reports a loose stool but no cramping. Blood pressure is 110/70 mm Hg. What should the nurse do?
After voiding 800 mL of urine, a patient taking bethanechol reports a loose stool but no cramping. Blood pressure is 110/70 mm Hg. What should the nurse do?
What does it mean when a nurse is advised to use sympathomimetic drugs with caution in diabetic patients?
What does it mean when a nurse is advised to use sympathomimetic drugs with caution in diabetic patients?
What is the appropriate action if a nurse learns a patient with diabetes mellitus has been ordered to receive pseudoephedrine for nasal congestion?
What is the appropriate action if a nurse learns a patient with diabetes mellitus has been ordered to receive pseudoephedrine for nasal congestion?
What action should be taken if a nursing student asks why a direct-acting cholinergic agonist selective to muscarinic receptors is described as non-specific?
What action should be taken if a nursing student asks why a direct-acting cholinergic agonist selective to muscarinic receptors is described as non-specific?
What should a nurse do if preparing to administer an indirect-acting cholinergic agonist drug?
What should a nurse do if preparing to administer an indirect-acting cholinergic agonist drug?
When preparing to give bethanechol (Urecholine) for urinary retention, what should the nurse do if the patient has a blood pressure of 120/80 mm Hg?
When preparing to give bethanechol (Urecholine) for urinary retention, what should the nurse do if the patient has a blood pressure of 120/80 mm Hg?
What is the appropriate action for the nurse to take when a parent expresses concern about their child experiencing nausea, vomiting, and headaches after taking methylphenidate for ADHD?
What is the appropriate action for the nurse to take when a parent expresses concern about their child experiencing nausea, vomiting, and headaches after taking methylphenidate for ADHD?
What does a parent's statement about consulting a pharmacist when giving OTC medications with methylphenidate indicate?
What does a parent's statement about consulting a pharmacist when giving OTC medications with methylphenidate indicate?
What is an appropriate response by the nurse when asked about weight loss medications for an obese 10-year-old child?
What is an appropriate response by the nurse when asked about weight loss medications for an obese 10-year-old child?
Which drug is indicated for treating neonatal apnea in infants experiencing bradycardia and apnea?
Which drug is indicated for treating neonatal apnea in infants experiencing bradycardia and apnea?
What potential adverse effects should a nurse anticipate when a patient presents after consuming caffeine tablets, coffee, and energy drinks?
What potential adverse effects should a nurse anticipate when a patient presents after consuming caffeine tablets, coffee, and energy drinks?
What medication would a nurse expect a provider to order for a patient diagnosed with narcolepsy and reporting difficulty staying awake during the daytime?
What medication would a nurse expect a provider to order for a patient diagnosed with narcolepsy and reporting difficulty staying awake during the daytime?
What is a common side effect of beta-adrenergic blockers?
What is a common side effect of beta-adrenergic blockers?
What should a patient do if experiencing side effects from beta-blockers?
What should a patient do if experiencing side effects from beta-blockers?
What are high dosages of albuterol (Proventil) inhaler known to potentially cause?
What are high dosages of albuterol (Proventil) inhaler known to potentially cause?
How do alpha-adrenergic blockers help in treating Raynaud’s disease?
How do alpha-adrenergic blockers help in treating Raynaud’s disease?
What is a crucial skill for a patient's family to learn when the patient is on beta blockers?
What is a crucial skill for a patient's family to learn when the patient is on beta blockers?
What category does Reserpine fall under?
What category does Reserpine fall under?
What is neostigmine used for?
What is neostigmine used for?
Where should a patient apply the transdermal scopolamine patch?
Where should a patient apply the transdermal scopolamine patch?
Why should a patient change the transdermal scopolamine patch every three days?
Why should a patient change the transdermal scopolamine patch every three days?
What condition would cause a nurse to hold benztropine medication for a patient with Parkinson's disease?
What condition would cause a nurse to hold benztropine medication for a patient with Parkinson's disease?
What action should the nurse take if a patient reports a dry mouth after receiving atropine?
What action should the nurse take if a patient reports a dry mouth after receiving atropine?
When should a patient with myasthenia gravis use benztropine with caution?
When should a patient with myasthenia gravis use benztropine with caution?
Which medication is used to treat sinus bradycardia?
Which medication is used to treat sinus bradycardia?
Why should a nurse hold the administration of tolterodine tartrate in a patient with incontinence?
Why should a nurse hold the administration of tolterodine tartrate in a patient with incontinence?
What is donepezil commonly used to treat?
What is donepezil commonly used to treat?
What is a common side effect that patients can experience with the use of phentermine?
What is a common side effect that patients can experience with the use of phentermine?
Which diagnostic test is NOT helpful in diagnosing attention-deficit/hyperactivity disorder (ADHD)?
Which diagnostic test is NOT helpful in diagnosing attention-deficit/hyperactivity disorder (ADHD)?
A patient with ADHD taking methylphenidate is experiencing insomnia. What advice should the nurse give regarding the timing of medication administration?
A patient with ADHD taking methylphenidate is experiencing insomnia. What advice should the nurse give regarding the timing of medication administration?
What is a significant benefit of using phentermine for obesity treatment?
What is a significant benefit of using phentermine for obesity treatment?
What class of drug is phentermine based on its Schedule IV classification as a controlled substance?
What class of drug is phentermine based on its Schedule IV classification as a controlled substance?
Why is an Electroencephalogram (EEG) ordered for a child suspected of having ADHD?
Why is an Electroencephalogram (EEG) ordered for a child suspected of having ADHD?
Which stage of sleep is associated with vivid dreams?
Which stage of sleep is associated with vivid dreams?
During which stage of sleep do nightmares occur in children?
During which stage of sleep do nightmares occur in children?
What non-pharmacologic measure can help promote sleep?
What non-pharmacologic measure can help promote sleep?
Which barbiturate is an intermediate-acting agent helpful in sustaining sleep?
Which barbiturate is an intermediate-acting agent helpful in sustaining sleep?
What is indicated for use in newborns with respiratory distress?
What is indicated for use in newborns with respiratory distress?
What can cause cardiac arrhythmias and seizures when consumed excessively?
What can cause cardiac arrhythmias and seizures when consumed excessively?
What medication is given to treat narcolepsy?
What medication is given to treat narcolepsy?
'Anorexiants should not be given to children under what age?'
'Anorexiants should not be given to children under what age?'
What drug could induce arrhythmias and convulsions when taken excessively?
What drug could induce arrhythmias and convulsions when taken excessively?
What is the maximum recommended dose of benzodiazepine for sleep aid?
What is the maximum recommended dose of benzodiazepine for sleep aid?
Why should a patient taper the dose gradually when stopping benzodiazepine used as a sleep aid?
Why should a patient taper the dose gradually when stopping benzodiazepine used as a sleep aid?
What is the purpose of administering a hypnotic medication the night before surgery?
What is the purpose of administering a hypnotic medication the night before surgery?
What is the recommended timing for taking methylphenidate twice daily?
What is the recommended timing for taking methylphenidate twice daily?
Which type of medication is given during surgery in balanced anesthesia?
Which type of medication is given during surgery in balanced anesthesia?
What is a crucial reason for avoiding products containing caffeine when a child is taking methylphenidate for ADHD?
What is a crucial reason for avoiding products containing caffeine when a child is taking methylphenidate for ADHD?
Why is it essential to ask about drug and alcohol use during a preoperative assessment?
Why is it essential to ask about drug and alcohol use during a preoperative assessment?
Why should a child taking amphetamine for ADHD avoid products with pseudoephedrine or caffeine?
Why should a child taking amphetamine for ADHD avoid products with pseudoephedrine or caffeine?
When does a patient who received isoflurane to induce anesthesia generally recover consciousness?
When does a patient who received isoflurane to induce anesthesia generally recover consciousness?
What should be closely monitored in a child taking methylphenidate due to potential medication side effects?
What should be closely monitored in a child taking methylphenidate due to potential medication side effects?
What is the appropriate initial action if a child on methylphenidate shows signs of nausea, vomiting, and hyperactivity?
What is the appropriate initial action if a child on methylphenidate shows signs of nausea, vomiting, and hyperactivity?
Why should a parent consult a pharmacist before giving their child OTC medications while on methylphenidate?
Why should a parent consult a pharmacist before giving their child OTC medications while on methylphenidate?
What should a nurse do when assessing a child taking methylphenidate who reports recent nausea, vomiting, and headaches?
What should a nurse do when assessing a child taking methylphenidate who reports recent nausea, vomiting, and headaches?
Why is it significant for a parent to understand that behavioral therapy may still be necessary alongside medication therapy for ADHD?
Why is it significant for a parent to understand that behavioral therapy may still be necessary alongside medication therapy for ADHD?
Why should patients taking benzodiazepines like alprazolam avoid alcohol?
Why should patients taking benzodiazepines like alprazolam avoid alcohol?
Which medication is recommended for older adults experiencing difficulty falling asleep?
Which medication is recommended for older adults experiencing difficulty falling asleep?
What is the primary ingredient in over-the-counter sleep aids?
What is the primary ingredient in over-the-counter sleep aids?
Which drug is classified as a melatonin receptor agonist?
Which drug is classified as a melatonin receptor agonist?
What effect might a patient experience after taking Zolpidem (Ambien) for several weeks?
What effect might a patient experience after taking Zolpidem (Ambien) for several weeks?
When should a patient take Zolpidem tartrate (Ambien) for sleep according to the teaching?
When should a patient take Zolpidem tartrate (Ambien) for sleep according to the teaching?
'Why might a bed alarm be used for older patients receiving flurazepam?'
'Why might a bed alarm be used for older patients receiving flurazepam?'
What is the most common cause of epilepsy according to the text?
What is the most common cause of epilepsy according to the text?
Why are anticonvulsants usually taken throughout a patient's lifetime?
Why are anticonvulsants usually taken throughout a patient's lifetime?
What age-related factor influences phenytoin dosage in children?
What age-related factor influences phenytoin dosage in children?
What is the cause of reddened gums that bleed easily in patients on phenytoin?
What is the cause of reddened gums that bleed easily in patients on phenytoin?
What should a nurse do if a patient's random serum phenytoin level is 18 mcg/mL?
What should a nurse do if a patient's random serum phenytoin level is 18 mcg/mL?
Why is it important for children on phenytoin to have their dosage adjusted?
Why is it important for children on phenytoin to have their dosage adjusted?
What action should a nurse take when administering phenytoin to an 80-year-old patient?
What action should a nurse take when administering phenytoin to an 80-year-old patient?
What is a common adverse effect of phenytoin experienced by patients?
What is a common adverse effect of phenytoin experienced by patients?
What serum drug level range is considered therapeutic for phenytoin?
What serum drug level range is considered therapeutic for phenytoin?
What is a common age-related consideration for phenytoin dosing in pediatric patients?
What is a common age-related consideration for phenytoin dosing in pediatric patients?
How does ethosuximide (Zarontin) work as an antiepileptic drug?
How does ethosuximide (Zarontin) work as an antiepileptic drug?
What is the most appropriate next step when a patient has a serum carbamazepine level of 18 mcg/mL?
What is the most appropriate next step when a patient has a serum carbamazepine level of 18 mcg/mL?
What aspect of a patient's medical history would be concerning when starting therapy with valproic acid (Depakote) for epilepsy?
What aspect of a patient's medical history would be concerning when starting therapy with valproic acid (Depakote) for epilepsy?
Why should a pregnant woman taking anticonvulsants receive vitamin K toward the end of her pregnancy?
Why should a pregnant woman taking anticonvulsants receive vitamin K toward the end of her pregnancy?
What percentage of children who experience febrile seizures are likely to develop epilepsy?
What percentage of children who experience febrile seizures are likely to develop epilepsy?
For a 25-year-old female starting phenytoin for epilepsy while on oral contraceptives, what advice would the nurse give?
For a 25-year-old female starting phenytoin for epilepsy while on oral contraceptives, what advice would the nurse give?
What should a parent understand about a child with a history of febrile seizures and the likelihood of developing epilepsy?
What should a parent understand about a child with a history of febrile seizures and the likelihood of developing epilepsy?
'A 5-year-old child who had a febrile seizure is at high risk of developing epilepsy.' - Is this statement true or false?
'A 5-year-old child who had a febrile seizure is at high risk of developing epilepsy.' - Is this statement true or false?
What is the recommended route for administering phenytoin to older patients?
What is the recommended route for administering phenytoin to older patients?
What is the reason for avoiding intramuscular injection of phenytoin?
What is the reason for avoiding intramuscular injection of phenytoin?
What blood test should the nurse discuss with the provider for a patient taking phenytoin for several years?
What blood test should the nurse discuss with the provider for a patient taking phenytoin for several years?
What action is appropriate if a patient presents with reddish-brown urine while taking phenytoin?
What action is appropriate if a patient presents with reddish-brown urine while taking phenytoin?
What action is necessary if a female patient taking phenytoin becomes pregnant?
What action is necessary if a female patient taking phenytoin becomes pregnant?
Which antiepileptic medication is specifically used to treat absence seizures?
Which antiepileptic medication is specifically used to treat absence seizures?
What drug should the nurse anticipate administering first to an intubated child having a seizure for 20 minutes in the emergency department?
What drug should the nurse anticipate administering first to an intubated child having a seizure for 20 minutes in the emergency department?
What might the nurse expect regarding serum phenytoin levels in a patient taking antacids for dyspepsia?
What might the nurse expect regarding serum phenytoin levels in a patient taking antacids for dyspepsia?
In a patient with new-onset dyspepsia after taking antacids, what action should the nurse take?
In a patient with new-onset dyspepsia after taking antacids, what action should the nurse take?
Which patient symptom indicates a potential side effect of phenytoin?
Which patient symptom indicates a potential side effect of phenytoin?
