Author Question: The nurse is getting ready to use an EpiPen auto-injector for a client who was bitten by a wasp. In ... (Read 39 times)

OSWALD · **on:** Jul 23, 2018

The nurse is getting ready to use an EpiPen auto-injector for a client who was bitten by a wasp. In order for the EpiPen to be fully effective, where will the nurse educate the client to store it?

1. On the counter
2. In the refrigerator
3. At a warm temperature
4. In a dark place

Question 2

Isoproterenol is an effective bronchodilator. It also produces adverse cardiovascular effects because of its effect on which receptors?

1. Alpha-2 receptors
2. Beta-1 receptors
3. Alpha-1 receptors
4. Dopamine receptors

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

Answer to Question 1

Correct Answer: 4
Rationale 1: An EpiPen should not be exposed to light, so it cannot be kept on counters.
Rationale 2: An EpiPen should be kept at room temperature. Refrigeration should be avoided.
Rationale 3: An EpiPen is sensitive to heat; it should be kept in a cool, dark place.
Rationale 4: An EpiPen is sensitive to light, and so should be kept in a cool, dark place.
Global Rationale: An EpiPen is sensitive to light and heat, and so should be kept in a cool, dark place. An EpiPen should be kept at room temperature. Refrigeration should be avoided.

Answer to Question 2

Correct Answer: 2
Rationale 1: Isoproterenol is not an alpha-2 receptor agonist. Alpha-2 receptor agonists are used for treatment of hypertension. They act through nonautonomic central mechanisms.
Rationale 2: Isoproterenol activates beta-1 receptors to increase the strength of myocardial contraction and improve cardiac output. This increases its potential for causing serious side effects.
Rationale 3: Isoproterenol has no effect on alpha-1 receptors. Alpha-1 receptor agonists are used for pharmacotherapy of nasal congestion and hypotension.
Rationale 4: Isoproterenol has no effect on dopaminergic receptors.
Global Rationale: Isoproterenol activates beta-1 receptors to increase the strength of myocardial contraction and improve cardiac output. This increases its potential for causing serious side effects. Isoproterenol is not an alpha-2 receptor agonist. Alpha-2 receptor agonists are used for treatment of hypertension. They act through nonautonomic central mechanisms. Isoproterenol has no effect on alpha-1 receptors. Alpha-1 receptor agonists are used for pharmacotherapy of nasal congestion and hypotension. Isoproterenol has no effect on dopaminergic receptors.