A patient is receiving medication that stimulates the alpha and beta 1 receptors. Which of the following would be an expected finding when the nurse assesses this patient?
1. decreased urine output
2. productive cough
3. heart rate 60 beats per minute with warm extremities
4. heart rate 100 beats per minute with cool extremities
4
Rationale: When alpha receptors are stimulated, the physiological response is vasoconstriction of the arterioles which could lead to cool extremities. When beta 1 receptors are stimulated, the physiological response is an increase in heart rate which could produce a heart rate of 100 beats per minute. Alpha and beta 1 receptor stimulation does not cause a decrease in urine output or productive cough. The heart rate would be increased and not 60 beats per minute. The extremities would be cool and not warm do to arteriole constriction.
You might also like to view...
A nurse plans care for a client with overflow incontinence. Which intervention should the nurse include in this client's plan of care to assist with elimination?
a. Stroke the medial aspect of the thigh. b. Use intermittent catheterization. c. Provide digital anal stimulation. d. Use the Valsalva maneuver.
A woman who wishes to become pregnant again consults with the nurse about preventing her child from being born with clubfoot. She has two other children, both treated for this disorder. Which information does the nurse provide about preventing clubfoot?
A. Avoid secondhand cigarette smoke while pregnant B. Fetal positioning in utero cannot be controlled C. Getting enough folic acid early in pregnancy is advisable. D. The disorder is genetic so no prevention is available.
The nurse is caring for a patient with a bladder infection. What symptoms are most common with this type of infection? (Select all that apply.)
A) Frequency B) Urgency C) Dysuria D) Flank pain E) Temperature elevation over 102?F
Areas of the thorax where breath sounds are decreased may indicate
a. a lung tumor that has displaced normal lung tissue. b. large distance between the lungs and the chest wall. c. a pneumothorax with collapse of the lung. d. complete airway obstruction.