Author Question: A patient has been prescribed phenylephrine (Neo-Synephrine). Prior to administering this drug the ... (Read 125 times)

laurencescou · **on:** Jul 23, 2018

A patient has been prescribed phenylephrine (Neo-Synephrine). Prior to administering this drug the nurse would review the patient's medication history for presence of which drugs? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. MAO inhibitors
2. Tricyclic antidepressants
3. Iron supplements
4. Digoxin
5. Aspirin

Question 2

The nurse is conducting the initial group education session for patients who have hypertension. What is the most important information to include?

1. Blood pressures tend to decrease as people age, due to decreased blood volume.
2. The aorta has sensors that help regulate blood pressure.
3. Anger can result in hypertension.
4. The vasomotor center, located in the limbic system of the brain, helps regulate blood pressure.
5. Hypertension is diagnosed when the blood pressure is greater than 145/95 mmHg.

dlook33 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1,2,3,4
Rationale 1: Concurrent use with MAO inhibitors may result in hypertensive crisis.
Rationale 2: Tricyclic antidepressants can potentiate the effects of phenylephrine (Neo-Synephrine).
Rationale 3: Iron supplements are incompatible with phenylephrine (Neo-Synephrine).
Rationale 4: Dysrhythmias may occur when phenylephrine (Neo-Synephrine) and digoxin are used concurrently.
Rationale 5: There is no incompatibility with aspirin.

Global Rationale: Concurrent use with MAO inhibitors may result in hypertensive crisis. Tricyclic antidepressants can potentiate the effects of phenylephrine (Neo-Synephrine). Iron supplements are incompatible with phenylephrine (Neo-Synephrine). Dysrhythmias may occur when phenylephrine (Neo-Synephrine) and digoxin are used concurrently. There is no incompatibility with aspirin.

Answer to Question 2

2,3
Rationale 1: Blood pressures tend to rise as people age.
Rationale 2: The aorta and internal carotid artery have baroreceptors that sense changes in pressure in blood vessels and chemoreceptors that detect oxygen, carbon dioxide, and pH levels.
Rationale 3: Anger and stress can cause blood pressure to rise.
Rationale 4: The vasomotor center is located in the medulla oblongata.
Rationale 5: According to JNC-7, a person is considered to have hypertension when sustained blood pressure is 139/89 mmHg.
Global Rationale: Anger and stress can cause blood pressure to rise. The aorta and internal carotid artery have baroreceptors that sense changes in pressure in blood vessels and chemoreceptors that detect oxygen, carbon dioxide, and pH levels. According to JNC-7, a person is considered to have hypertension when sustained blood pressure is 139/89 mmHg. The vasomotor center is located in the medulla oblongata. Blood pressures tend to rise as people age.