Author Question: A patient hospitalized in an acute care setting reports to the nurse that since starting on an ... (Read 48 times)

itsmyluck · **on:** Jul 24, 2018

A patient hospitalized in an acute care setting reports to the nurse that since starting on an adrenergic medication, he has been feeling dizzy and weak. The most appropriate action for the nurse is to

a. immediately notify the physician.
b. teach the patient to move slowly from standing to sitting.
c. discontinue the adrenergic blocker.
d. monitor the blood pressure in both the supine and standing positions.

Question 2

The nurse is caring for a patient taking a cholinergic agent. When auscultating lung sounds, the nurse notes inspiratory and expiratory wheezing bilaterally. The best action for the nurse to take would be to

a. provide the next dose of the cholinergic agent immediately.
b. assess heart rate and blood pressure.
c. reposition the patient.
d. withhold the next dose and notify the physician.

Cheesycrackers · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: D
Although infrequent and generally mild, adrenergic agents may cause some degree of orthostatic hypotension manifested by dizziness and weakness, particularly when therapy is initiated. This is anticipated and does not require the physician to be immediately notified.

Answer to Question 2

ANS: D
Serious respiratory adverse effects of cholinergic agents include bronchospasm and wheezing. If these symptoms present, the next dose of the cholinergic agent should be withheld until the patient is evaluated by a health care provider.