A patient who is in heart failure is administered a beta1 ...

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A patient who is in heart failure is administered a beta1 agonist. The nurse would evaluate that the drug is effective if which changes occur? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply.
 
  1. Heart rate increases
  2. Pulse becomes stronger
  3. Pupils dilate
  4. Dysrhythmias dissipate
  5. Blood pressure drops

Question 2

The nurse is caring for a patient with a pH of 7.32. Which medications would be appropriate to administer to a patient with this condition?
 
  1. Oral bicarbonate
  2. Sodium chloride
  3. Sodium citrate
  4. Potassium chloride
  5. Ammonium chloride

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Answer to Question 1

1,2
Rationale 1: One of the effects of beta1 agonists is to increase the heart rate.
Rationale 2: One of the effects of beta1 agonists is to increase force of cardiac contraction, which would be felt as a stronger pulse.
Rationale 3: Pupil dilation is an effect of alpha1 drugs.
Rationale 4: Beta1 antagonists are given to control dysrhythmias.
Rationale 5: Beta1 antagonists are given to control hypertension.

Global Rationale: The effects of beta1 agonists are to increase the heart rate and the force of cardiac contraction. Pupil dilation is an effect of alpha1 drugs. Beta1 antagonists are given to control dysrhythmias and hypertension.

Answer to Question 2

1,3
Rationale 1: Oral bicarbonate is an agent used to treat acidosis.
Rationale 2: Sodium chloride is an agent used to treat alkalosis.
Rationale 3: Sodium citrate is an agent used to treat acidosis.
Rationale 4: Potassium chloride is an agent used to treat alkalosis.
Rationale 5: Ammonium chloride is an agent used to treat alkalosis.
Global Rationale: Oral bicarbonate is an agent used to treat acidosis. Sodium citrate is an agent used to treat acidosis. Sodium chloride is an agent used to treat alkalosis. Potassium chloride is an agent used to treat alkalosis.
Ammonium chloride is an agent used to treat alkalosis.

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TYSM

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Gracias!