Question 1

The patient receives metaproterenol (Alupent), an adrenergic drug. A consulting physician orders carteolol (Cartrol), a beta blocker. What best describes the nurse's assessment?

Accepted Answer

Carteolol, a beta blocker, can antagonize the effects of metaproterenol, a beta agonist, leading to decreased effectiveness of metaproterenol.

Question 2

Which statement is accurate concerning drugs classified as adrenergic antagonists?

Accepted Answer

Adrenergic antagonists block adrenergic receptors, counteracting the effects of sympathomimetics, which stimulate the sympathetic nervous system.

Question 3

A patient who was recently prescribed an adrenergic drug says, "I am so nervous and I cannot sleep." The nurse would ask which questions?

Accepted Answer

A,C

Question 4

A patient has been prescribed isoproterenol (Isuprel). The nurse plans care based on the drug's stimulation of which receptors?

Accepted Answer

Isoproterenol primarily stimulates beta receptors, specifically beta₁ and beta₂, leading to increased heart rate and bronchodilation.

Question 5

An older adult patient received an adrenergic eye drop to dilate the pupils for a retinal exam. What information should the nurse provide when discharging this patient?

Accepted Answer

The nurse should advise the patient not to drive until the effects of the eye drops have worn off, as pupil dilation can affect vision. Wearing sunglasses in bright light and staying in a darkened room can help with light sensitivity caused by dilated pupils. Burning sensation is usually temporary and should not last for days, and there are no dietary restrictions related to adrenergic eye drops.

Question 6

A patient is prescribed a drug that activates alpha₂receptors. The nurse would plan care based on which physiological response?

Accepted Answer

Alpha₂ receptor activation leads to inhibition of norepinephrine release, which is a key physiological response associated with these receptors.

Question 7

A patient has been prescribed an adrenergic nasal spray. What medication instruction should the nurse provide?

Accepted Answer

The answer of A patient has been prescribed an adrenergic...

Question 8

The nurse is providing discharge medication instruction to the family of a child who is severely allergic to peanuts. Mark the spot where the family or patient should inject epinephrine from an EpiPen should an allergic response occur.

Accepted Answer

The answer of The nurse is providing discharge medication instruction...

Question 9

A patient who is in heart failure is administered a beta₁ agonist. The nurse would evaluate that the drug is effective if which changes occur?

Accepted Answer

The answer of A patient who is in heart failure...

Question 10

The physician ordered prazosin (Minipress), an alpha-adrenergic blocker, for the patient. The nurse plans to do medication education. What will the best plan of the nurse include?

Accepted Answer

Prazosin can interact with saw palmetto, which also affects alpha-adrenergic receptors, potentially leading to increased side effects or altered effectiveness.

Question 11

Place these substances in the correct order of synthesis of catecholamines.

Accepted Answer

Tyrosine is the precursor for the synthesis of catecholamines. It is first converted to L-dopa, which is then converted to dopamine. Dopamine is then converted to norepinephrine, which is finally converted to epinephrine.

Question 12

A patient who has used an adrenergic nasal spray for 2 weeks complains that, "I am more stuffed up now than I was when I was sick." What advise should the nurse provide?

Accepted Answer

The answer of A patient who has used an adrenergic...

Question 13

A patient has been prescribed an alpha₁ adrenergic agonist drug. The nurse would plan to monitor for effects from which organs?

Accepted Answer

The answer of A patient has been prescribed an alpha₁...

Question 14

The nurse is preparing to administer an adrenergic drug intravenously. What nursing actions should be planned?

Accepted Answer

Adrenergic drugs should be diluted before administration to ensure safe concentration levels. An infusion pump is used to control the rate of administration to prevent rapid infusion, which can cause adverse effects. Monitoring for blanching at the infusion site is important as it can indicate extravasation or tissue damage.

Question 15

The nurse has been doing medication education for the patient receiving atenolol (Tenormin), a beta blocker. The nurse determines that learning has occurred when the patient makes which statement?

Accepted Answer

Atenolol can affect heart rate, so monitoring pulse daily is important to ensure it is within a safe range.

Question 16

A nurse is reviewing medical records for usage of drugs that are beta₂ agonists. The nurse should start with the medical records of patients with which conditions?

Accepted Answer

Beta₂ agonists are used to treat asthma and COPD, which are both conditions that affect the lungs.

Question 17

A nurse is providing discharge medication instruction regarding use of injectable epinephrine (EpiPen). What information should the nurse include?

Accepted Answer

Epinephrine is used to treat anaphylaxis, a severe allergic reaction. It is important to seek medical advice after using an EpiPen, as anaphylaxis can be life-threatening. Used EpiPens should be disposed of in a sharps container, not in regular trash. It is important to keep an extra EpiPen on hand in case of an emergency. EpiPens should be stored at room temperature, not in the refrigerator. Carrying an EpiPen in your car's glovebox is not recommended, as extreme temperatures can affect the medication's effectiveness.

Question 18

A patient has been prescribed phenylephrine (Neo-Synephrine). Prior to administering this drug the nurse would review the patient's medication history for presence of which drugs?

Accepted Answer

The answer of A patient has been prescribed phenylephrine (Neo-Synephrine)....

Question 19

The patient receives methyldopa (Aldomet), an adrenergic drug. The nurse determines that the patient is having side effects when the patient makes which statement?

Accepted Answer

The answer of The patient receives methyldopa (Aldomet), an adrenergic...

Question 20

A patient has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. What information about adverse effects should the nurse provide in discharge teaching?

Accepted Answer

Phenylephrine nasal spray can cause stinging or burning in the nose (A) and can lead to rebound congestion if used for more than a few days (D).

Quiz 13: Adrenergic Drugs Affecting the Autonomic Nervous System

The patient receives metaproterenol (Alupent) , an adrenergic drug. A consulting physician orders carteolol (Cartrol) , a beta blocker. What best describes the nurse's assessment?

Which statement is accurate concerning drugs classified as adrenergic antagonists?

A patient who was recently prescribed an adrenergic drug says, "I am so nervous and I cannot sleep." The nurse would ask which questions?

A patient has been prescribed isoproterenol (Isuprel) . The nurse plans care based on the drug's stimulation of which receptors?

An older adult patient received an adrenergic eye drop to dilate the pupils for a retinal exam. What information should the nurse provide when discharging this patient?

A patient is prescribed a drug that activates alpha₂receptors. The nurse would plan care based on which physiological response?

A patient has been prescribed an adrenergic nasal spray. What medication instruction should the nurse provide?

The nurse is providing discharge medication instruction to the family of a child who is severely allergic to peanuts. Mark the spot where the family or patient should inject epinephrine from an EpiPen should an allergic response occur.

A patient who is in heart failure is administered a beta₁ agonist. The nurse would evaluate that the drug is effective if which changes occur?

The physician ordered prazosin (Minipress) , an alpha-adrenergic blocker, for the patient. The nurse plans to do medication education. What will the best plan of the nurse include?

Place these substances in the correct order of synthesis of catecholamines.

A patient who has used an adrenergic nasal spray for 2 weeks complains that, "I am more stuffed up now than I was when I was sick." What advise should the nurse provide?

A patient has been prescribed an alpha₁ adrenergic agonist drug. The nurse would plan to monitor for effects from which organs?

The nurse is preparing to administer an adrenergic drug intravenously. What nursing actions should be planned?

The nurse has been doing medication education for the patient receiving atenolol (Tenormin) , a beta blocker. The nurse determines that learning has occurred when the patient makes which statement?

A nurse is reviewing medical records for usage of drugs that are beta₂ agonists. The nurse should start with the medical records of patients with which conditions?

A nurse is providing discharge medication instruction regarding use of injectable epinephrine (EpiPen) . What information should the nurse include?

A patient has been prescribed phenylephrine (Neo-Synephrine) . Prior to administering this drug the nurse would review the patient's medication history for presence of which drugs?

The patient receives methyldopa (Aldomet) , an adrenergic drug. The nurse determines that the patient is having side effects when the patient makes which statement?

A patient has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. What information about adverse effects should the nurse provide in discharge teaching?

Quiz 13: Adrenergic Drugs Affecting the Autonomic Nervous System

The patient receives metaproterenol (Alupent) , an adrenergic drug. A consulting physician orders carteolol (Cartrol) , a beta blocker. What best describes the nurse's assessment?

Which statement is accurate concerning drugs classified as adrenergic antagonists?

A patient who was recently prescribed an adrenergic drug says, "I am so nervous and I cannot sleep." The nurse would ask which questions?

A patient has been prescribed isoproterenol (Isuprel) . The nurse plans care based on the drug's stimulation of which receptors?

An older adult patient received an adrenergic eye drop to dilate the pupils for a retinal exam. What information should the nurse provide when discharging this patient?

A patient is prescribed a drug that activates alpha2 receptors. The nurse would plan care based on which physiological response?

A patient has been prescribed an adrenergic nasal spray. What medication instruction should the nurse provide?

The nurse is providing discharge medication instruction to the family of a child who is severely allergic to peanuts. Mark the spot where the family or patient should inject epinephrine from an EpiPen should an allergic response occur.

A patient who is in heart failure is administered a beta1 agonist. The nurse would evaluate that the drug is effective if which changes occur?

The physician ordered prazosin (Minipress) , an alpha-adrenergic blocker, for the patient. The nurse plans to do medication education. What will the best plan of the nurse include?

Place these substances in the correct order of synthesis of catecholamines.

A patient who has used an adrenergic nasal spray for 2 weeks complains that, "I am more stuffed up now than I was when I was sick." What advise should the nurse provide?

A patient has been prescribed an alpha1 adrenergic agonist drug. The nurse would plan to monitor for effects from which organs?

The nurse is preparing to administer an adrenergic drug intravenously. What nursing actions should be planned?

The nurse has been doing medication education for the patient receiving atenolol (Tenormin) , a beta blocker. The nurse determines that learning has occurred when the patient makes which statement?

A nurse is reviewing medical records for usage of drugs that are beta2 agonists. The nurse should start with the medical records of patients with which conditions?

A nurse is providing discharge medication instruction regarding use of injectable epinephrine (EpiPen) . What information should the nurse include?

A patient has been prescribed phenylephrine (Neo-Synephrine) . Prior to administering this drug the nurse would review the patient's medication history for presence of which drugs?

The patient receives methyldopa (Aldomet) , an adrenergic drug. The nurse determines that the patient is having side effects when the patient makes which statement?

A patient has been prescribed phenylephrine (Neo-Synephrine) spray for nasal congestion. What information about adverse effects should the nurse provide in discharge teaching?

A patient is prescribed a drug that activates alpha₂receptors. The nurse would plan care based on which physiological response?

A patient who is in heart failure is administered a beta₁ agonist. The nurse would evaluate that the drug is effective if which changes occur?

A patient has been prescribed an alpha₁ adrenergic agonist drug. The nurse would plan to monitor for effects from which organs?

A nurse is reviewing medical records for usage of drugs that are beta₂ agonists. The nurse should start with the medical records of patients with which conditions?