The nurse would contact the health care provider before administering an adrenergic drug to a client who is also taking which drug?

Antibiotic

MAO inhibitor

Diuretic

Analgesic

Answer and Explanation

The Correct Answer is B

A. Antibiotics do not typically interact with adrenergic drugs in a way that would necessitate contacting the healthcare provider before administration.

B. MAO inhibitors can cause significant interactions with adrenergic drugs, potentially leading to hypertensive crises due to increased norepinephrine levels. Therefore, the nurse should contact the healthcare provider to assess the risks before administering an adrenergic agent.

C. Diuretics may affect fluid and electrolyte balance, but they do not pose a direct interaction risk with adrenergic drugs that would require prior consultation with the healthcare provider.

D. Analgesics do not have a significant interaction with adrenergic drugs that would warrant contacting the healthcare provider, as they are used for pain management and can often be safely administered together.

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Correct Answer is C

Explanation

A. Constricted pupils are not an expected response to isoproterenol, which generally causes dilation of the pupils due to sympathetic stimulation.

B. Warm, dry skin is not a direct indicator of the effectiveness of isoproterenol; it could result from various factors unrelated to the medication's action.

C. Increased heart rate indicates that isoproterenol, which is a beta-agonist, is effectively stimulating the beta-adrenergic receptors, leading to increased cardiac output and heart rate.

D. Decreased urine output is not a sign of effectiveness and could indicate adverse effects such as reduced renal perfusion.

A. "You will lose less potassium with spironolactone than with furosemide." B. "You will have greater potassium losses with spironolactone than with furosemide." C. "You will have greater water losses with spironolactone than with furosemide." D. "You will have greater sodium losses with spironolactone than with furosemide."

Correct Answer is A

Explanation

A. Spironolactone is a potassium-sparing diuretic, meaning it helps retain potassium while promoting sodium and water excretion. This makes it advantageous for clients who may be at risk for hypokalemia with furosemide, which can lead to significant potassium loss.

B. This statement is incorrect; spironolactone causes less potassium loss compared to furosemide, making it a better option for those needing to maintain potassium levels.

C. This statement is misleading; spironolactone does promote diuresis but does not cause greater water losses than furosemide.

D. This is incorrect; while spironolactone does promote sodium excretion, it does not do so to a greater extent than furosemide, which is a more potent diuretic.

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The nurse would contact the health care provider before administering an adrenergic drug to a client who is also taking which drug?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse provides a client with a dose of the beta-selective adrenergic agonist isoproterenol. Which assessment finding indicates the medication is effective?

Correct Answer is C

Explanation

A client asks, "Why is my prescription being switched from furosemide to spironolactone?" What is the nurse's best response?

Correct Answer is A

Explanation

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