When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?

Constricted pupils

Increased heart rate

Bronchial constriction

Increased GI peristalsis

Answer and Explanation

The Correct Answer is B

A. Constricted pupils: Adrenergic agonist drugs typically cause pupil dilation (mydriasis), not constriction.
B. Increased heart rate: Adrenergic agonists stimulate the sympathetic nervous system, leading to increased heart rate (positive chronotropic effect) and increased cardiac contractility (positive
inotropic effect).

C. Bronchial constriction: Adrenergic agonists typically cause bronchodilation, not constriction.

D. Increased GI peristalsis: Adrenergic agonists usually inhibit GI motility, leading to decreased GI peristalsis and potentially constipation

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Correct Answer is A

Explanation

A. The patient's respiratory rate: Morphine sulfate is an opioid analgesic that can cause

respiratory depression as a side effect. Therefore, assessing the patient's respiratory rate is crucial before administering the medication to ensure it is within normal limits.
B. The appearance of the incision: While assessing the incision is important for overall surgical site assessment, it's not directly related to the administration of morphine sulfate.
C. The date of the patient's last bowel movement: Bowel movements may be impacted by anesthesia and surgery, but they are not directly relevant to assessing the safety of administering morphine sulfate.
D. The patient's pulse rate: Pulse rate is important for overall assessment of the patient's

condition but may not directly indicate the need for or safety of administering morphine sulfate.

A. The 21-year-old patient who has never had surgery before B. The 40-year-old patient who is to have a kidney stone removed C. The 82-year-old patient who is to have gallbladder removal D. The 35-year-old patient who stopped smoking 8 years ago

Correct Answer is C

Explanation

A. The 21-year-old patient who has never had surgery before: While lack of previous surgery experience may contribute to anxiety, it doesn't inherently increase the risk of altered response to anesthesia.
B. The 40-year-old patient who is to have kidney stone removed: While the type of surgery may influence anesthesia considerations, being 40 years old alone doesn't significantly increase the risk of altered response to anesthesia.
C. The 82-year-old patient who is to have gallbladder removal: Advanced age is a significant risk factor for altered response to anesthesia due to age-related changes in physiology, metabolism, and drug clearance.
D. The 35-year-old patient who stopped smoking 8 years ago: While smoking history can impact anesthesia considerations, stopping smoking 8 years ago likely reduces the associated risks compared to current smokers.

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When a patient is taking an adrenergic agonist drug, the nurse expects to observe which effect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient had abdominal surgery this morning. The patient is groggy but complaining of severe pain around the incision. What is the most important assessment data to consider before the nurse administers a dose of morphine sulfate to the patient?

Correct Answer is A

Explanation

When assessing patients in the preoperative area, the nurse knows that which patient is at a higher risk for an altered response to anesthesia

Correct Answer is C

Explanation

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