Answer to Question 1
Correct Answer: 1
Rationale 1: Immediately after injection, blood pressure increases due to stimulation of alpha-1 receptors.
Rationale 2: Epinephrine causes pupillary dilation, not constriction.
Rationale 3: Epinephrine causes decreased urinary output.
Rationale 4: Epinephrine causes bronchodilation due to activation of beta-2 receptors in the bronchi, so the client can breathe freely.
Global Rationale: Immediately after injection, blood pressure increases due to stimulation of alpha-1 receptors. Epinephrine causes pupillary dilation, not constriction. Epinephrine causes decreased urinary output. Epinephrine causes bronchodilation due to activation of beta-2 receptors in the bronchi, so the client can breathe freely.
Answer to Question 2
Correct Answer: 2
Rationale 1: Entacapone (Comtan) causes inhibition, not stimulation, of COMT in the synaptic cleft.
Rationale 2: Entacapone (Comtan) causes inhibition of COMT in the synaptic cleft. This causes an increased effect of epinephrine on the heart and blood pressure.
Rationale 3: Entacapone (Comtan) does not cause reuptake of COMT in the synaptic cleft.
Rationale 4: Entacapone (Comtan) does not cause excessive secretion of COMT.
Global Rationale: Entacapone (Comtan) causes inhibition of COMT in the synaptic cleft. This causes an increased effect of epinephrine on the heart and blood pressure. Entacapone (Comtan) does not cause reuptake of COMT in the synaptic cleft, nor does it cause excessive secretion of COMT.
B, The nurse teaches the postoperative client to use an incentive spirometer to expand the lungs.
Health History Assessment Questions Pertinent to Drug Administration
Patient teaching: nail assessment
newborn assessment
Positioning the client
finding the resultant force