Author Question: A 72-year-old woman with a 60-pack-year history of cigarette smoking has developed chronic ... (Read 112 times)

soccerdreamer_17 · **on:** Jul 23, 2018

A 72-year-old woman with a 60-pack-year history of cigarette smoking has developed chronic obstructive pulmonary disease (COPD) and has consequently been prescribed albuterol, a beta2-adrenergic agonist.

When administering this medication, the nurse should be aware that A) the drug carries a higher potential for hepatotoxicity in this patient than in a younger patient.
B) the drug may be less effective than in a younger patient due to decreased beta-receptor function.
C) the patient will need to take a beta-adrenergic blocker concurrently to mitigate the likelihood of adverse effects.
D) the patient will need to have serial complete blood counts (CBCs) drawn following the initiation of therapy.

Question 2

A patient exercises for 30 minutes today. She has not been on an exercise regimen for many years. The exercise will result in what autonomic neurotransmitter to be released?

A) Norepinephrine
B) Epinephrine
C) Acetylcholine
D) Insulin

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

Answer to Question 1

B
Feedback:
Beta-adrenergic agonists are less effective in older adults as a result of the decreased function of the beta-receptor system. The potential for hepatotoxicity is not increased, and a beta-blocker is not indicated. Serial blood work is not necessary.

Answer to Question 2

C