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."
3
Rationale 1: Adrenergic drugs dilate the pupils, so vision should not be affected.
Rationale 2: Anticholinergic, not adrenergic, drugs dry secretions, therefore the patient would not be thirsty.
Rationale 3: Adrenergic drugs mimic the effect of the sympathetic nervous system (SNS). This can result in anxiety and restlessness.
Rationale 4: Adrenergic drugs increase alertness, so the patient would not be sleepy.
Global 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...
An extrinsic change affecting the aging process is
A) reduced resistance to stress. B) reduced sensory perception. C) exposure to environmental influences. D) greater fluctuation in blood pH.
What is the primary term for defining the view of the universe according to quantum physics?
1. Compartmentalized 2. Subatomic 3. Chaotic 4. Orderly
Mr. M takes warfarin for anticoagulation following a prosthetic aortic valve replacement. He is overall healthy, and since the surgery has begun to exercise, follow a cardiac diet, and use numerous vitamins and natural supplements
At his clinic visit, he tells the nurse that he is taking ginkgo biloba daily. The nurse reports this to his primary care provider because: 1. Ginkgo biloba alters blood clotting and when combined with warfarin could lead to prolonged bleeding times. 2. Ginkgo biloba plays a role in synthesis of clotting factors and can increase the risk of clot formation. 3. Warfarin may decrease the effect of ginkgo biloba and decrease the international normalized ratio (INR). 4. Warfarin may increase the production of clots.
Emetics are drugs that induce ________ in cases of poisoning.
Fill in the blank(s) with the appropriate word(s).