Author Question: A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic blocking ... (Read 34 times)

khang · **on:** Jul 23, 2018

A priority nursing assessment for a patient who is to receive an alpha- or beta-adrenergic blocking agent would be what?

A) Monitoring respiratory rate
B) Checking blood glucose level
C) Measuring urine output
D) Assessing heart rate

Question 2

Which antifungal would the nurse explain works by inhibiting glucan synthesis

A) Flucytosine
B) Terbinafine
C) Micafungin
D) Ketoconazole

ky860224 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Feedback:
The most serious adverse effect would be severe bradycardia, so the nurse's priority would be assessing the heart rate. If the patient were identified as having diabetes, then monitoring blood glucose levels would become important because these drugs can aggravate diabetes by blocking sympathetic response including masking the usual signs and symptoms of hypoglycemia and hyperglycemia. Respiratory rate could be impacted if the patient was identified as having a condition causing bronchospasm and diabetes because the combination could worsen both conditions. Measuring urine output should be part of the patient's care, but it is not the priority assessment.

Answer to Question 2

C
Feedback:
The antifungal medications called echinocandins work by inhibiting glucan synthesis and micafungin is one of the drugs in this classification. Flucytosine is a miscellaneous antifungal agent, whereas terbinafine and ketoconazole are topical agents.