The nurse is concerned that a client receiving epinephrine is experiencing autonomic nervous system adverse effects when which items are found on assessment?
Standard Text: Select all that apply.
1. Tachycardia
2. Ventricular dysrhythmia
3. Elevated blood pressure
4. Elevated blood glucose level
5. Flaccid paralysis
Correct Answer: 1,2,3,4
Rationale 1: Tachycardia is an autonomic nervous system adverse effect of epinephrine.
Rationale 2: Ventricular dysrhythmia is an autonomic nervous system adverse effect of epinephrine.
Rationale 3: Hypertension is an autonomic nervous system adverse effect of epinephrine.
Rationale 4: Elevated blood glucose level is an autonomic nervous system adverse effect of epinephrine.
Rationale 5: Flaccid paralysis is not an autonomic nervous system adverse effect of epinephrine.
Global Rationale: Tachycardia, ventricular dysrhythmia, hypertension, and hyperglycemia are autonomic nervous system adverse effects of epinephrine. Flaccid paralysis is not an autonomic nervous system adverse effect of epinephrine.
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