The nurse should prepare to administer which of the following medications? That Time I Dropped Out of Nursing School. The nurse administering a cholinergic drug would assess for slowing of the HR because the drug does which of the following ? -effects mostly noted in digestive & urinary tracts. what are the most widely prescribed class of autonomic drugs? A PACU nurse takes over patient care once they have left the operating room. Welcome to your ultimate set of nursing pharmacology questions for the NCLEX!In this nursing test bank, test your competence in nursing pharmacology with these 500+ practice NCLEX questions.The goal of this quiz is to help nursing students review concepts of nursing pharmacology and provide an alternative to Quizlet or ATI. Select all that apply. Which of the following is the most important con- sideration when preparing to administer the new drugs? "I am so thirsty; will you please bring me another pitcher of water?" what are the therapeutic applications of beta 2 receptors? constriction of blood vessels, dilation of pupils. A health care provider prescribes furosemide Lasix 40 mg PO now. Select all that apply. d. ask the nursing aide to stay with the other client while Cathy finishes the bed bath. Monitor for blanching at the infusion site. "Will you check my pupils? When administering heparin subcutaneously, the nurse should A) Aspirate after injection B) Aspirate before the injection C) Vigorously massage the site D) Never aspirate Ans: D Feedback: When administering heparin subcutaneously, never aspirate before administration. What data collected by the nurse demonstrate that the drug is effective? c. finish the bed bath, then administer the pain medication. what phenylephrine (Neo- Synephrine) administered for and the admin alerts? In preparing the client for discharge on prednisone therapy, the nurse should advise the client to: A. Creatinine level beta 2 receptors are primarily located where? In the autonomic synapses, the nerve on the other side of the ganglionic synapse, waiting to receive the impulse, is called what ? Cholesterol level 3. what are some adverse effections of prazosin (minipress) ? B. I can't see very well at all." -^ salivation, sweating, ab cramping, & hypotension that could lead to fainting. The nurse recognizes this phenomenon as what? The nurse has an order to administer phenylephrine to a client. The client is drowsy but oriented. what are drugs used for in the autonomic nervous system ? Use a … The nurse recognizes which type of drug action will block the norepinephrine at alpha and beta receptors in the client to which it's administered? 5. how do you treat phenylephrine (neo- synephrine) overdose? A nurse is caring for a client who is returning from surgery. Take oral preparations of prednisone before meals. Considering the client's history of prostatic hypertrophy, the nurse may see which of the following effects? A nurse is preparing to administer a client’s morning insulin dosage. muscarinic cholinergic receptor agonist. what should the nurse assess for pt receiving adrenergic (sympathomimetic) therapy? These Dopamine drip practice problems were designed to help you better understand how to calculate an IV flow rate based on a patient's weight, the ordered dose, and the amount of solution supplied. b. motor neurons and sensory neurons make up the _____. An inexperienced nurse asks, “How does this drug work?” Which of the following statements is correct? (changes form environment). what are the therapeutic applications of alpha 2 receptors? Jon Haws RN began his nursing career at a Level I Trauma ICU in DFW working as a code team nurse, charge nurse, and preceptor. how do parasympathomimetics act directly or indirectly? ____________ receptors are located on target tissues affected by postganglionic neurons in the parasympathetic nervous system, and they decrease heart rate & force of contraction in heart and stimulate smooth muscle and gland secretions. What are the 2 basic types of adrenergic receptors? Type: MCSA The patient receives methyldopa (Aldomet), an adrenergic drug. -Primary Use: nasal congestion by constricting small blood vessels in nasal mucosa. alpha 2 receptors are primarily located where? 2. A) Weigh the patient to obtain correct dose/kg/day. Cover the client, raise side rails, tell the client that Cathy has to administer the pain medication first, then will return as soon as possible. The main neurotransmitter responsible for sympathetic nervous transmission is what? (direct-acting parasympathomimetic). 13. [DSC] = Discontinued product Solution, Injection, as sulfate: Generic: 1 mg/mL (1 mL [DSC]); 8 mg/20 mL (20 mL) Solution, Injection, as sulfate [preservative free]: Generic: 0.4 mg/0.5 mL (0.5 mL [DSC]); 0.4 mg/mL (1 mL); 1 mg/mL (1 mL) Solution Auto-injector, Intramuscular, as sulfate: AtroPen: 0.5 mg/0.7 mL (0.7 mL); 1 mg/0.7 mL (0.7 mL); 2 mg/0.7 mL (0.7 mL) [pyrogen free; contains phenol] So… The parasympathetic division has __________ receptors. 1. change from lying down to sitting position slowly. Available is diazepam injection 5 mg/mL. This drug would be called a(n): The nurse is preparing to administer a sympathomimetic agent to a client with low BP. Available is chlorpromazine syrup 10 mg/5 mL. The nurse is preparing to administer furosemide (Lasix) to a client with a diagnosis of heart failure. 22. (Round the answer to the nearest whole number. What is the nurses priority action? The nurse determines that the patient is having side effects when the patient makes which statement? When a person is suffering from constipation, then this person may receive an enema.In many cases, patients are required to get enemas due to certain injuries and problems. Nursing Process Focus: Patients Receiving Atropine (Atropair, Atropisol) Assessment Prior to administration: • Assess for heart rate, blood pressure, what should a nurse know about administering prazosin (minipress)? 3. what is the primary use for prazosin (minipress) ? what are some adverse effects of phenylephrine (Neo-synephrine) ? - weigh self daily w/ BP & pulse- report weight gain/loss of more than 2 lbs in 24 hr period. 4. For which of the following should the nurse monitor the client? A nurse receives an order for clonidine (Catapres) for a 25-year-old pregnant woman. Phlebitis O Dark, Orange-colored Stools Constipation Injection Site Pain PREVIOUS CONTINUE Copyricht … treatment of nasal congestion or hypotension, causes mydriasis during opthalmic examination, treatment of hypertension through centrally acting mechanism, increased heart rate and force of contraction. It maintains a constant internal environment or homeostasis, elimination patterns & deep tendon reflexes, “it promotes synthesis of neurotransmitters”, “it stops the production of neurotransmitters”. A certified registered nurse anesthetist (CRNA) is a specialized and advanced nursing field. Check for availability of a liquid preparation.-rationale: the nurse should find out whether the medication is available in liquid form. The _________ transmits signals between the CNS and the rest of the body. NCLEX® and NCLEX-RN® are Registered Trademarks of the NCSBN, HESI® is a registered trademark of Elsevier Inc., TEAS® and Test of Essential Academic Skills™ are registered trademarks of Assessment Technologies Institute, CCRN® is a Registered trademark of the AACN; all of which are unaffiliated with, not endorsed by, not sponsored by, and not associated with NRSNG, LLC or TazKai, LLC and its affiliates in any way. Identify the client's trigger foods. to stimulate urination (nonobstructive urinary retention agent). Frustrated with the nursing education process, Jon started NURSING.com in 2014 with a desire to provide tools and confidence to nursing students around the globe. to stimulate or inhibit target organs, such as the heart, lungs, glands, or digestive tract, all sympathetic target organs except the heart. Add medications to enteral feeding 74. D. Assist the client with position. b. Administer the drug and monitor for adverse effects. treatment of asthma & premature labor contractions. D) Make sure the patient is wearing a fetal monitor. alpha 1 receptor therapeutic applications are what ? The motor neurons of the PNS are divided into to systems known as what ? what are the main things a nurse should know about administering atropine ? "I am so anxious; I really need to walk around the room." B) Have a second nurse check the dose before administering the drug. The recommended dosages for the treatment of clinically important hypotension in the setting of anesthesia is an initial dose of 5 mg to 10 mg administered by intravenous bolus. prazosin (minipress) is what kind of drug type? (changes by moving muscles or secreting chemicals), ______ _______ carry signals to the CNS from sensory organs. (anticholinergic), poisoning with anticholinesterase agents, to increase HR, dilate pupils. what are some interactions the nurse may need to know about prazosin (minipress)? 60 micron filter/tubing supplied by pharmacy Albumin 25% Rapi (forhypoproteinemia w/ generalized edema) X 25% (250 mg/mL) What will the nurse do next? The _____________ receives and processes information and initiates action. I am not constipated." Which of the following medicine should the nurse expect to administer? Serum magnesium … Which of the following actions should the nurse perform first? B. Administer pain medication to the client. ___________ block AcH & used primarily to dry secretions, treat asthma, and prevent motion sickness. -may affect the synthesis of the NT in the presynaptic nerve:decrease synthesis=inhibit fcn. The nurse should recognize this as which types of order? a. Administer the medication at 100 mg/min. The nurse teaches the client that bethanechol (urecholine) exerts its affects by: Elderly clients taking Bethanechol (Urecholine) need to be assessed more frequently for what and why? C. 2. Dilute the drug before administration. what are the main effects of parasympathetic division on the body? Which of the following interventions should the nurse include in the plan? the nurse recognizes that sympathomimetic drugs used to treat cardiac arrest and heart failure primarily activate what receptors? 1. Administer additional boluses as needed, not to exceed a total dosage of 50 mg. E) Perform a … When administering a sympathomimetic drug, the nurse expects the most likely will experience: The nurse administers phenylephrine (Neo- Synephrine) to a client. causes a decreased release of acetylcholine, inhibits salivation, digestion, and sex organs, change from lying down to sitting position slowly, "it causes the destruction of neurotransmitters", stimulates sex organs (erection;not ejaculation). In emergencies, may administer over 15 minutes. ________ receptors are located at the ganglionic synapse in both sympathetic and parasympathetic divisions of the autonomic nervous system and they stimulate smooth muscle & gland secretion. The _________________ controls involuntary responses by influencing organs, glands, and smooth muscle. A nurse is preparing to administer diazepam 7.5 mg IV bolus to a client for alcohol withdrawal. what safety precaution would be necessary especially with this drug ? -tachycardia, HTN, dysrythmias, anxiety, tremors, dizziniess, headache, & decrease cardiac output. Which is the most important laboratory test result for the nurse to check before administering this medication? monitor patency throughout infusion When administering a sympathomimetic drug, the nurse expects the most likely will experience: 1. Adult MAX: 600mls/hr Rapid infusion may cause hypertension and pulmonary edema. A nurse is discussing with a patient the efficacy of a drug that his physician has suggested, and he begin taking. -assess 4 improved: mental status & ability to carry out ADLs, urinary elimination & output, musculoskeletal weakness, pstosis, diplopia, & chewing/swallowing. Dopamine IV drip practice calculation problems for nurses. 5 Steps to Writing a (kick ass) Nursing Care Plan, Dear Other Guys, Stop Scamming Nursing Students, The S.O.C.K. Calcium supplement for osteoporosis--why would they have flank pain 2. How do sympathomimetics act directly or indirectly? Method for Mastering Nursing Pharmacology, 39 Things Every Nursing Student Needs Before Starting School. Use an infusion pump to control rate of administration. The nurse teaching a client home administration of digoxin will include which of the following in the teaching plan ... treat extra vasations with phenylephrine. An OR nurse also assists the surgeon and may be called on to control bleeding, insert sutures and administer medication. Feel Like You Don’t Belong in Nursing School? Nurse is caring for a paediatric client who has congestive heart failure (CHF). what are the 2 divisions of the autonomic nervous system ? what are some things the nurse should teach a patient about adrenergic- blocker therapy? Question: A Nurse Is Monitoring A Client Following Ferrous Sulfate Administration. what is the primary use for bethanechol (Urecholine)? The nurse is preparing to give a dose of gentamicin to a patient and notes that the most recent serum gentamicin trough level was 2 mcg/mL. The client is receiving prazosin (minipress) for hypertension. a. Administer the drug as ordered. A nurse has an order to give phenylephrine (neo-syneprine) parenterally. All references to such names or trademarks not owned by NRSNG, LLC or TazKai, LLC are solely for identification purposes and not an indication of affiliation. In the autonomic synapses, The nerve carrying the impulse exiting the spinal cord is called what ? A nurse is planning prevention strategies for partner violence in the community. D) Continue to give the medication. 1. what are some contraindications and interactions with phenylephrine (Neo-synephrine) ? Single order b. Stat order c. Routine order d. Standing order 75. -frequent assessment of vitals for effectiveness: decreased nasal congestion & reddened sclera should be improved. indirectly: increase release of norepinephrine from nerve terminals, directly: stimulate cholinergic receptors. The ________________ controls voluntary movements by activating skeletal muscles. (select all that apply) 1. The physician diagnosed the client with keratitis and is prescribed with an eye lubricant. The nurse has an order to administer phenylephrine to a client. B) Notify the health care provider. Give the drug as rapidly as possible by intravenous push. The sympathetic division has ___________ receptors. The nurse should monitor elderly clients for episodes of dizziness b/c hypotension is a potential S/E. In the autonomic synapses, beyond the postganglionic neuron is the 2nd synapse that occurs where ? Wear sunglasses if exposed to bright light for an extended period of time. the nurse is going to administer a drug to stimulate the urinary tract of a client following general anesthesia. Blood urea nitrogen 2. Use within 4 hours of opening vial. You will be required to solve problems that require you to understand: mcg/kg/min treatment of cardiac arrest, heart failure, and shock. 3. it causes the destruction of neurotransmitters. What best summarizes the function of the nervous system? The _____________ _________ dominates during times of "rest and digestion" which directs maintenance of activites. Lansoprazole Naproxen Magnesium hydroxide Phenylephrine A nurse is updating the plan of care for a client who has bulimia nervosa and is 5% above their ideal body weight. The Nurse Should Monitor The Client For Which Of The Following Adverse Effects? c. Notify the provider to discuss decreasing the dose. Which laboratory test result is most important to evaluate when preparing to administer digoxin? 4. A nurse is preparing to administer phenytoin IV to a client who has a seizure disorder. Prazosin (minipress) is prescribed to a client for hypertension. The client asks what the difference is between beta 1 and beta 2 blockers for treatment of angina. Excipient information presented when available (limited, particularly for generics); consult specific product labeling. what are adverse effects the nurse should know about bethanechol (urecholine) ? Include a liquid supplement with meals. A. Verify the client's identity. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispe… A) Check the chart for allergies. d. The client states, "I don't need this medication. alpha blocker such as phentolamine may be indicated to decrease BP. -reduces BP w/ little effect on cardiac output or HR. -^ HR, bronchodilation, decrease motility of GI tract, mydriasis, & decreased secretions from glands. a) Phenylephrine b) Latanoprost c) Pilocarpine d) Timolol i) Mydriatic medications, such as phenylephrine, are used preoperatively to dilate pupils to facilitate intraocular surgery. A nurse has an order to give phenylephrine (neo-syneprine) parenterally. The _________ ________ prepares the body for stressful or energetic activity also known as "fight or flight.". ; provide supportive measures, muscarinic cholinergic receptor antagonist. what safety precaution would be necessary especially with this drug ? A nurse is preparing to administer a dose of lactulose to a client who has cirrhosis. what type of drug is bethanechol (Duvoid, Urecholine)? alpha-adrenergic agonist (sympathomimetic). NR293 ATI Pharmacology Final Review, Chamberlain College of Nursing 1. beta 1 receptors are primarily located where? At NURSING.com, we believe Black Lives Matter ✊, No Human Is Illegal , Love Is Love ️, Women's Rights Are Human Rights , Science Is Real , Water Is Life , Injustice Anywhere Is A Threat To Justice Everywhere ☮️. A nurse notes new drug orders for a patient who is already getting several medications. He is using phenylephrine (Neo- Synephrine) as a nasal spray several times per day with no relief. dissolving or breaking the capsule may interfere with drug action or absorption. phenylephrine (Neo- Synephrine) is what kind of drug ? Th central nervous system consists of what ? Serum potassium levels 2. Selected from data included with permission and copyrighted by First Databank, Inc. © 2003-2021 Chegg Inc. All rights reserved. Rationale: The nurse should administer phenytoin IV slowly, not faster than 50 … what are the therapeutic applications of beta 1 receptors? How will the nurse proceed? PACU Nurses vs. Nurse Anesthetists. 52. The client is receiving digoxin therapy. C) Ask what reaction the client gets. The nurse is evaluating the somatic nervous system when assessing the function of: The nurse administers a medication that inhibits autonomic function to a client. How many mL should the nurse administer? 1.5 mL 8. The nurse is preparing to administer an adrenergic drug intravenously. what assessment findings indicates SNS function? A client is admitted through the emergency department with a diagnosis of detached retina in the right eye. Potassium level 4. alpha 1- adrenergic blocking agent (sympatholytics). D. Never stop or change the amount of the medication without medical advice. Monitor vital signs and fluid balance. 60 minutes. -Prior: obtain health & drug Hx & be alert for drug interactions; lab findings such as hepatic or renal fcn; baseline vitals, weight, & urinary & cardiac output; nasal mucosa for excoriation or bleeding; ability to understand instruction. what assessment findings would indicate to the nurse that the client is being influence by activation of the PNS? what are some interactions the nurse should know about Bethanechol (urecholine)? ______ _______ carry signals from the CNS that control the activities of muscles and glands. However, the patient will need to be positioned in order for the nurse to administer the enema. What are the 2 types of cholinergic receptors? The nurse who is caring for a client receiving a cholinergic drug should observe for increased symptoms of which of the following? How many mL should the nurse administer? The nurse is preparing to administer a medication when the client states,"I'm allergic to that." Which of the following should the nurse include in the teaching plan? What nursing actions should be planned? For which of the following should the nurse monitor the client? -^ cholinergic effects from cholinesterase inhibitors & decreased cholinergic effects from procainamide, quinidine, atropine, & epinephrine. This drug will act by: stimulating the adrenergive receptors in the PNS. what effects are controlled only by the sympathetic nervous system? In the autonomic synapses, the action potential travels along the first nerve & encounters the first synapse also called the __________ ___________. The nurse bases a reply on knowledge that: B. beta 1 blockers specifically target receptors in the heart and kidneys. what are the 2 major divisions of the nervous system? C. Document the client's vital signs. Because of their effects on the SNS, sympathomimetics would be contraindicated in clients with: During the nursing history, the client states the he has had a stuffy nose for the past 6 wks. - avoid use in pts w/ acute pancreatitis, heart disease, hepatitis, or narrow-angle glaucoma. 3. 1. -concurrent use of antihypertensives & diuretics = extremely low BP. Which of the following actions should the nurse plan to take? As the nurse completes the admission history, the client reports that before the physician patched his eye, he saw many spots, or “floaters.” The nurse should explain to client … what should a nurse know about administering Bethanechol (Urecholine) ? what are the 5 general mechanisms by which drugs affect synaptic transmission ? A client went to a health care facility with a complaint of difficulty opening the eyelid because of pain. C) Consult with the physician about the order. what are interventions for nurse when administering adrenergic (sympathomimetic) therapy ? what should the nurse implement about parasympathomimetic therapy ? A nurse is preparing to administer chlorpromazine 0.55 mg/kg PO to an adolescent who weighs 110 lb. Adjust dosage according to the blood pressure goal (i.e., titrate to effect). The National Coordinating Council for Medication Error Reporting and Prevention defines a medication error as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. 71) A nurse is assessing a client who is receiving a parental lipid infusion. 2.
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