Author Question: A patient has been prescribed an alpha1 adrenergic agonist drug. The nurse would plan to monitor for ... (Read 39 times)

Evvie72 · **on:** Jul 23, 2018

A patient has been prescribed an alpha1 adrenergic agonist drug. The nurse would plan to monitor for effects from which organs? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Kidneys
2. Eyes
3. Heart
4. Bowels
5. Lungs

Question 2

The nurse is caring for a group of patients on a medical-surgical unit. For which patients would the nurse anticipate the need for intravenous fluid therapy to correct fluid depletion?

1. A patient suffering from constipation
2. A patient exhibiting nausea and vomiting following a surgical procedure
3. A patient with a severe burn
4. A patient with congestive heart failure with edema to the lower extremities and rales
5. A patient with uncontrolled diabetic ketoacidosis

jomama · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,2,4,5
Rationale 1: Alpha1 receptors have potential to affect the renal system.
Rationale 2: Alpha1 receptors result in dilation of the pupils.
Rationale 3: Alpha1 receptors do not affect receptors in the heart.
Rationale 4: Alpha1 receptors have potential to affect receptors in the gastrointestinal tract.
Rationale 5: Alpha1 receptors have potential to affect receptors in the respiratory system.

Global Rationale: Alpha1 receptors do not affect receptors in the heart. Alpha1 receptors have potential to affect the renal, gastrointestinal, and respiratory systems. Alpha1 receptors result in dilation of the pupils.

Answer to Question 2

2,3,5
Rationale 1: A patient who is suffering from constipation will not need intravenous fluid due to fluid depletion. A patient with diarrhea may require intravenous fluid due to fluid depletion.
Rationale 2: A patient exhibiting nausea and vomiting may require intravenous fluid to avoid dehydration.
Rationale 3: A patient with a severe burn will often require intravenous fluid due to fluid depletion that occurs from fluid shifts.
Rationale 4: A patient with congestive heart failure retains fluid and will be on fluid restrictions.
Rationale 5: A patient with uncontrolled diabetic ketoacidosis often requires intravenous fluid administration for fluid depletion.
Global Rationale: A patient exhibiting nausea and vomiting may require intravenous fluid to avoid dehydration. A patient with a severe burn will often require intravenous fluid due to fluid depletion that occurs from fluid shifts. A patient with uncontrolled diabetic ketoacidosis often requires intravenous fluid administration for fluid depletion. A patient who is suffering from constipation will not need intravenous fluid due to fluid depletion. A patient with diarrhea may require intravenous fluid due to fluid depletion. A patient with congestive heart failure retains fluid and will be on fluid restrictions.