Author Question: A patient has been prescribed isoproterenol (Isuprel). The nurse plans care based on the drug's ... (Read 41 times)

DelorasTo · **on:** Jul 23, 2018

A patient has been prescribed isoproterenol (Isuprel). The nurse plans care based on the drug's stimulation of which receptors? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.

1. Alpha1
2. Alpha2
3. Beta1
4. Beta2
5. Beta3

Question 2

A patient has been prescribed potassium chloride (KCl). The patient states, This is sure a big pill. What nursing actions are indicated?

1. Have the patient sit straight up to attempt to swallow the pill.
2. Crush the tablet and put it in a soft food for the patient to swallow.
3. Have the patient chew the tablet.
4. Consult with the prescriber about an alternative drug form.
5. Have the patient take the pill at the beginning of a meal.

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

Answer to Question 1

3,4
Rationale 1: This drug does not affect alpha1 receptors.
Rationale 2: This drug does not affect alpha2 receptors.
Rationale 3: Isoproterenol (Isuprel) is a nonselective drug that stimulates beta1 receptors.
Rationale 4: Isoproterenol (Isuprel) is a nonselective drug that stimulates beta2 receptors.
Rationale 5: This drug does not affect beta3 receptors.

Global Rationale: Isoproterenol (Isuprel) is a nonselective drug that stimulates beta1 and beta2 receptors. This drug does not affect alpha1, alpha2, or beta3 receptors.

Answer to Question 2

1,4,5
Rationale 1: The patient should sit straight up when swallowing this pill to prevent choking and to prevent esophagitis.
Rationale 2: The pill should not be crushed.
Rationale 3: The patient should not chew the tablet.
Rationale 4: Alternative forms of potassium are available and may be better for this patient.
Rationale 5: KCl should be taken with food to prevent gastric upset.

Global Rationale: The patient should sit straight up when swallowing this pill to prevent choking and to prevent esophagitis. Alternative forms of potassium are available and may be better for this patient. KCl should be taken with food to prevent gastric upset. The pill should not be crushed. The patient should not chew the tablet.