Author Question: The patient receives methyldopa (Aldomet), an adrenergic drug. The nurse determines that the patient ... (Read 51 times)

Alainaaa8 · **on:** Jul 23, 2018

The patient receives methyldopa (Aldomet), an adrenergic drug. The nurse determines that the patient is having side effects when the patient makes which statement?

1. Will you check my pupils? I can't see very well at all.
2. I am so thirsty; will you please bring me another pitcher of water?
3. I am so anxious; I really need to walk around the room.
4. I feel so sleepy that I don't think I can eat my dinner.

Question 2

Which interventions will the nurse include when planning care to enhance the removal of poison from a patient who has overdosed on drugs?

1. Administering activated charcoal
2. Monitoring urine output
3. Preparing the patient for dialysis
4. Inserting a nasogastric tube
5. Preparing corticosteroids for administration

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

Answer to Question 1

Correct Answer: 3
Rationale: Adrenergic drugs mimic the effect of the sympathetic nervous system (SNS). This can result in anxiety and restlessness. Adrenergic drugs increase alertness, so the patient would not be sleepy. Anticholinergic, not adrenergic drugs, dry secretions, therefore the patient would not be thirsty. Adrenergic drugs dilate the pupils, so vision should not be affected.

Answer to Question 2

Correct Answer: 1,2,3,4
Rationale 1: Charcoal works by binding with the poison agent.
Rationale 2: The patient's urine output should be monitored, noting the characteristics of urine for early identification of rhabdomyolysis.
Rationale 3: The patient might need dialysis for rapid removal of lethal toxins.
Rationale 4: A nasogastric tube might be needed for lavage of stomach contents.
Rationale 5: Corticosteroids are not used to enhance the removal of poison from the body.