Author Question: A client diagnosed with asthma asks the nurse why an albuterol (Proventil) inhaler is better than ... (Read 86 times)

azncindy619 · **on:** Jul 23, 2018

A client diagnosed with asthma asks the nurse why an albuterol (Proventil) inhaler is better than isoproterenol (Isuprel). The nurse's response should be based on the physiologic concept that isoproterenol affects which receptors?

1. Alpha-1 receptors
2. Beta-1 and beta-2 receptors
3. Alpha-2 receptors
4. All of the receptors

Question 2

What will the nurse most likely assess in the client with Parkinson disease who is prescribed a muscarinic antagonist?

1. Diarrhea
2. Reduced tremors and rigidity
3. Increased urine output
4. Rhinorrhea

kthug · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 2
Rationale 1: Isoproterenol does not affect alpha-1 receptors.
Rationale 2: Isoproterenol affects beta-1 and beta-2 receptors.
Rationale 3: Isoproterenol does not affect alpha-2 receptors.
Rationale 4: Isoproterenol does not affect all receptors.
Global Rationale: Isoproterenol affects beta-1 and beta-2 receptors. Isoproterenol does not affect alpha-1 receptors, beta-1 and beta-2 receptors, or all receptors.

Answer to Question 2

Correct Answer: 2
Rationale 1: Diarrhea is not an affect of muscarinic antagonists.
Rationale 2: Muscarinic antagonists are prescribed to reduce the muscular tremor and rigidity associated with Parkinson disease.
Rationale 3: Increased urine output is not an effect of muscarinic antagonists.
Rationale 4: Rhinorrhea is not an affect of muscarinic antagonists.
Global Rationale: Muscarinic antagonists are prescribed to reduce the muscular tremor and rigidity associated with Parkinson disease. Diarrhea, increased urine output, and rhinorrhea are not affects of muscarinic antagonists.