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Nsg 308: Autonomic Nervous System Quiz

Total questions: 15

Worksheet time: 17mins

Name
Class
Date
1.

A patient is prescribed an albuterol rescue inhaler for asthma attacks. The patient is concerned about having an increased heart rate and blood pressure after using the inhaler. Which of the following would be an appropriate response to this concern?

a)

Don't worry about that, breathing is more important.

b)

This is a known but rare side effect and only lasts about 30 minutes

c)

This can happen because you are nervous when you take your inhaler and your body goes into "fight or flight".

d)

This side effect only occurs in patients with cardiac problems.

2.

After an intramuscular injection of penicillin G, the patient develops severe difficulty breathing and has difficulty speaking. Which medication should the nurse prepare to administer?

a)

Diphenhydramine (Benadryl) IV

b)

Epinephrine (Adrenalin) IM

c)

Epinephrine (Adrenalin) SC

d)

Methylprednisolone (Solumedrol) IV

3.

Albuterol via inhalation is a suprising treatment used for hyperkalemia (high serum potassium level). Why can albuterol be used to treat this condition?

a)

Albuterol acts as a cation exchange resin in the bowel and potassium is excreted via stool

b)

Albuterol causes a glycogen release that is followed by an insulin release & potassium follows into the cells

c)

Albuterol causes tachycardia which activates the RAAS system and causes increased excretion of potassium into urine

d)

Albuterol causes bronchoconstriction and a release of epinephrine which lowers potassium via passive diffusion

4.

Oxymetazoline (Afrin), an alpha-1 receptor agonist, is an effective nasal spray used to treat congestion. Rebound congestion (rhinitis medicamentosa) is a serious concern when using this drug. Which instructions should the nurse give to a patient to prevent this complication?

a)

Only use the medication for 3 days

b)

As soon as the congestion resolves stop the medication

c)

Alternate with pseudoephedrine for 5-7 days

d)

Only use the medication every other day

5.

When administering an albuterol (Ventolin) inhaler with diabetes blood glucose levels should also be monitored. Blood glucose needs to be monitored due to activation of which adrenergic receptor?

a)

Alpha-1

b)

Alpha-2

c)

Beta-1

d)

Beta-2

6.

A patient is started on a dobutamine infusion for treatment of acute decompensated heart failure (ADHF). The nurse should assess the patient closely for what?

a)

Tachyarrythmias

b)

Fine hand tremos

c)

Atrioventricular heart block

d)

Hypoglycemia

7.

The nurse cares for a patient with asthma who uses an albuterol (Ventolin) metered dose inhaler. The nurse is most concerned if the patient makes which statement?

a)

"I should rinse my mouth out after using the inhaler."

b)

"My hands start to shake after using the inhaler."

c)

"I can use the inhaler as often as needed."

d)

"If the inhaler doesn't work, I should dial 911."

8.

A patient reports to the nurse that he has a new onset symptom of dizziness when he gets out of his hot tub in the mornings. The patient has recently started a new medication at night time. Which of the following medications would explain the patient's new onset symptoms?

a)

tamsulosin (Flomax)

b)

oxymetazoline (Afrin)

c)

pseudoephedrine (Sudafed)

d)

ibuprofen (Motrin)

9.

A patient is receiving a drug that blocks adrenergic receptors. Which adverse effect, if experienced by the patient, is of most concern to the nurse?

a)

Nasal congestion

b)

Orthostatic hypotension

c)

Impotence

d)

Reflex tachycardia

10.

The nurse prepares to administer 50 mg of po metoprolol tartrate (Lopressor), a cardioselective beta blocker, to a diabetic patient with chronic stable angina. What assessment is most important to make before administration of this medication? Select TWO that apply.

a)

Auscultate lung sounds for presence of wheezing

b)

Take the patient's blood pressure

c)

Count the patient's respirations

d)

Assess the patient's heart rate

e)

Check the patient's blood glucose

11.

A patient who had a myocardial infarction is prescribed metoprolol succinate (Toprol XL). This is a new medication for the patient. Fatigue is a common adverse effect for this drug class. Which is the best statement made by the nurse to the patient?

a)

"Fatigue is difficult to tolerate, you may need to ask for a different medication"

b)

"Fatigue should subside with a few weeks of starting the drug"

c)

"It will be difficult to tell if you have fatigue from the drug or the heart attack"

d)

"If the fatigue is severe, stop the medication and see if it resolves"

12.

Oxybutynin (Ditropan) is prescribed as a urinary tract antispasmodic agent after a urological procedure. This medication is an anticholinergic. Which of the following adverse effects will the nurse teach the patient about? Select all that apply (SATA).

a)

Diarrhea

b)

Constipation

c)

Dry mouth

d)

Urinary incontinence

e)

Blurred vision

13.

To prevent bradycardia during anesthesia induction, which medication will the surgical RN have on standby?

a)

Adenosine

b)

Atropine

c)

Epinephrine

d)

Norepinephrine

14.

A patient with heart failure is taking metoprolol succinate (Toprol XL). This medication antagonizes Beta-1 adrenergic receptors. Which adverse effect will the nurse monitor for after administering the medication?

a)

Hypotension

b)

Tachycardia

c)

Urinary retention

d)

Increased libido

15.

A patient is going on a cruise and is worried about getting sea sick. The nurse recommends over the counter dimenhydrinate (Dramamine) for prevention of motion sickness. Which of the following side effects should the nurse inform the patient about while taking the drug considering it has anticholinergic properties?

a)

Drowsiness, tachycardia and tinnitus

b)

Dry mouth, blurred vision and constipation

c)

Anorexia, blurred vision and hypertension

d)

Anorexia, nausea and vertigo