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Lassanskeexam2
| Question | Answer |
|---|---|
| The sympathetic system uses cathecholamines at the postganglionic receptors. Which are considered to be catecholamines? Select all that apply. 1) Dopamine 2) Norepinephrine 3) Acetylcholine 4) Epinephrine 5) Monoamine oxidase 6) Serotonin | 1,2,4 |
| The nurse determines that beta2-receptors in the sympathetic nervous system have been stimulated by which findings? 1) Increased heart rate 2) Increased myocardial contraction 3) Bronchial dilation 4) Uterine contraction | 3 |
| The doctor has ordered Dantrium for a patient. What signs/symptoms would the nurse expect to find to indicate the order for Dantrium? 1)UTI 2)Muscle spasms 3)GI upset 4)Abnormal liver enzymes | 2 |
| When stimulated, the parasympathetic nervous system is responsible for which of the following EXCEPT? 1)Increased digestion 2)Building of essential proteins 3)Constricted pupils 4)Urinary sphincter contraction | 4 |
| Which of the following is an important function of monoamine oxidase in the sympathetic nervous system? 1)Synthesis of acetylcholine 2)Break down of norepinephrine 3)Break down of acetylcholine 4)Activation of epinephrine | 2 |
| Activation of beta adrenoceptors of the heart does which of the following: 1 Increases contractility & automaticity of heart 2)Decreases ejection fraction 3)Decreases heart rate 4)Decreases contractility & automaticity of heart | 1 |
| A patient taking Nortriptyline (Pamelor) for depression, the monoamine oxidase inhibitor Isocarboiozid (Marplan) Which ordered medications should the nurse question? 1)Dopamine 2)Captopril (Capoten) 3)Atorvastatin (Lipitor) 4)Metronidazole (Flagyl) | 1 |
| For disorder in a patient in your care would the use of dopamine be contraindicated? 1)Type II Diabetes 2)Pheochromocytoma 3)Von Willebrand’s disease 4)Hypothyroidism | 2 |
| Your patient has recently been ordered Clonidine (Catapress) to reduce his BP. What side effects should you what for? Select all that apply. 1)SOA with mild exertion 2)Bradycardia 3)Decreased urination 4)Headache | 1,2,3 |
| Which of the following medications would not be indicated for a patient with ischemia of the heart muscles? 1)Phenylephrine (Neo-synephrine) 2)Clopidogrel (Plavix) 3)Captopril (Capoten) 4)Isoproterenol (Isuprel) 5)Metropolol (Lopressor) | 4 |
| Nurses should teach patients that the sudden cessation of Clonidine (Catapress) may cause which of the following symptoms? Select all that apply. 1)Rapid rise in BP 2)Rapid decrease in BP 3)Headache 4)Tachycardia | 1,3,4 |
| A patient has elected to take an over-the-counter cold preparation that contains phenylephrine. The nurse would advise the patient not to take that drug if the patient has 1)Thyroid or cardiovascular disease 2)A cough & runny nose 3)COPD 4)Hypotensio | 1 |
| patient has Dx of pheochromocytoma hypertension, tremors,headache r/t clonidine withdrawal. The nurse would expect the MD to prescribe what medication? 1)Doxazosin (Cardura) 2)Propranolol (Inderal) 3)Labetalol (Normodyne) 4)Metropolol (Lopressor) | 3 |
| Phenotolamine (Regitine), alpha-adrenergic blocker, most frequently used 1)prevents cell death after extravasation of IV dopamine, norepinephrine 2)Tx COPD in patient with HTN, arrhyth 3)Tx HTN,BPH in males 4)blocks bronchoconstriction during acute as | 1 |
| A nurse would question an order for beta1-selective adrenergic blocker for a patient with 1)Cardiac arrhythmias 2)Hypertension 3)Cardiogenic shock 4)Open-angle glaucoma | 3 |
| The nurse would anticipate administering drugs that generally block all adrenergic receptor sites to treat 1) Allergic rhinitis 2)COPD 3)Cardiac-related conditions 4)Premature labor | 3 |
| (17) The nurse should teach patients taking an adrenergic blocker 1)To avoid exposure to infections 2)To stop the drug if he/she experiences flu-like symptoms 3)Never to stop the drug abruptly 4)To avoid sun exposure | 3 |
| A medication given to increase the tone of detrusor muscle relax sphincters and causes bladder emptying is 1)Phenytoin (Dilantin) 2)Phenobarbital 3)Atropine 4)Bethanechol (Urecholine) | 4 |
| In performing a Edrophonium (Tensilon) test patients with a cholinergic challenge the nurse would expect the patient to exhibit which symptoms. Select all 1)Dry mouth 2)Increased salivation 3)Diaphoresis 4)Urinary retention 5)Increased gastric mot | 2,3,5 |
| The following medications are ordered for a patient recently diagnosed with myasthenia gravis. Which medication would the nurse question? 1)Edrophonium (Tensilon) 2)Atropine 3)Pyridostigmine (Regonol) 4)Tetracycline | 4 |
| An alzheimer’s patient is being treated with Donepezil (Aricept). Which of the following would prompt the nurse to question the medication? 1)BUN 46 2)WBC 8500 3)RBC 5.5 4)K 3.5 | 1 |
| Alzheimer disease is marked by a progressive loss of memory, is associated with 1)Degen of dopamine-producing cells in the basal ganglia 2)Loss of acetylcholine-producing neurons& target neurons in the CNS 3)Loss of acetylcholine receptor sites in the | 2 |
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purpleapple87
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