The patient receives methyldopa (Aldomet), an adrenergic drug. The nurse determines that the patient is having side effects when the patient makes which statement?
1. "Will you check my pupils? I can't see very well at all."
2. "I am so thirsty; will you please bring me another pitcher of water?"
3. "I am so anxious; I really need to walk around the room."
4. "I feel so sleepy that I don't think I can eat my dinner."
Correct Answer: 3
Rationale: Adrenergic drugs mimic the effect of the sympathetic nervous system (SNS). This can result in anxiety and restlessness. Adrenergic drugs increase alertness, so the patient would not be sleepy. Anticholinergic, not adrenergic drugs, dry secretions, therefore the patient would not be thirsty. Adrenergic drugs dilate the pupils, so vision should not be affected.
You might also like to view...
The nurse is caring for a 45-year-old female patient who is in chronic renal failure. What cholinergic drug is contraindicated for this patient?
A) Neostigmine B) Pyridostigmine C) Edrophonium D) Galantamine
Before performing the doll's eye or oculocephalic reflex, the nurse must verify
a. the absence of cervical injury. b. the depth and rate of respiration. c. a physician's order to perform the maneuver. d. the patient's ability to follow a verbal command.
Studies have shown that control targets that reduce the HbA1C to less than 7% are associated with fewer long-term complications of diabetes. Patients who should have such a target include:
1. Those with long-standing diabetes 2. Older adults 3. Those with no significant cardiovascular disease 4. Young children who are early in their disease
The nurse has entered a client's room after receiving a morning report. The nurse rapidly assessed the client's airway, breathing, and circulation and greeted the client by saying "Good morning." The client has made no reciprocal response to the
A) The nurse should ask appropriate questions to understand the reasons for the client's silence. B) The nurse should apologize for bothering the client, perform necessary assessments efficiently and leave the room. C) The nurse should document the client's withdrawal and diminished mood in the nurse's notes. D) The nurse should ask the client if he feels afraid or angry.