{"id":182,"date":"2019-10-17T17:02:07","date_gmt":"2019-10-17T17:02:07","guid":{"rendered":"https:\/\/pressbooks.ccconline.org\/accnursingpharmacology\/chapter\/4-16-learning-activities\/"},"modified":"2025-01-16T22:29:16","modified_gmt":"2025-01-16T22:29:16","slug":"4-16-learning-activities","status":"publish","type":"chapter","link":"https:\/\/pressbooks.ccconline.org\/accnursingpharmacology\/chapter\/4-16-learning-activities\/","title":{"raw":"4.17 Learning Activities","rendered":"4.17 Learning Activities"},"content":{"raw":"
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Light Bulb Moment\"Image<\/h2>\n<\/header>\n
\n\nTest your knowledge and application.<\/strong>\n\nPractice applying your knowledge regarding ANS neuroreceptors to the following client scenarios where a nurse must use clinical judgment for a solution:\n\n1. A client begins a nicotine patch in an attempt to stop smoking. The client reports feelings of nausea, weakness, and a rapid heartbeat.\u00a0<\/strong>\n

a) What is the likely cause of these symptoms?<\/p>\n

b) What is the nurse's best response?<\/p>\n2. A client with benign prostatic hyperplasia (BPH) has a new order for tamsulosin. He asks, \u201cHow will tamsulosin help me? I already take so many pills.\u201d<\/strong>\n

a) What is the nurse\u2019s best response?<\/p>\n

b) What does the nurse plan to monitor carefully, especially after administering the first dose of tamsulosin?<\/p>\n3. A client with asthma is taking albuterol to help when she feels increased shortness of breath.<\/strong>\n

a) How will albuterol assist in her breathing?<\/p>\nThe client states, \u201cAfter I take albuterol, it feels as if my heart is racing.\u201d\n

b) What is the likely cause of this symptom?<\/p>\n

c) What is the nurse\u2019s best response to the client's concern?<\/p>\n4. A client with high blood pressure is prescribed propranolol.<\/strong>\n

a) How will propranolol help to lower the blood pressure?<\/p>\n

b) What will the nurse assess before administering the propranolol?<\/p>\nThe nurse listens to the client's lungs a few hours after administering propranolol and notices new wheezing.\n

c) What could be a potential cause of this new finding?<\/p>\n

d) What is the nurse\u2019 s next best response?<\/p>\n5. A client is prescribed metoprolol to help control his atrial fibrillation, an irregular heart rhythm.<\/strong>\n

a) What will the nurse assess before administering the metoprolol?<\/p>\n

b) What findings would cause the nurse to call the provider before administering the metoprolol?<\/p>\nUpon reassessment the next day, the nurse notices a new finding of edema in the client's feet and lower legs.\n

c) What could be a potential cause of this new finding?<\/p>\n

d) What is the nurse's next best response?<\/p>\n6. A client with an acute episode of heart failure is admitted and is prescribed dobutamine.<\/strong>\n

a) How will dobutamine improve the client's condition?<\/p>\n

b) What will the nurse monitor carefully during administration?<\/p>\n\n<\/div>\nNote: Answers to the Light Bulb Moment can be found in the \u201cAnswer Key<\/a>\u201d section at the end of the book.\n\n \n\n<\/div>\n

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Case Study 1\n\"Image<\/h2>\n<\/header>\n
\n\nMr. Lao is a 42-year-old male who was referred to the outpatient clinic for treatment of hypertension and attention deficit hyperactivity disorder (ADHD). He has a history of uncontrolled hypertension despite lifestyle modifications and multiple medication trials and reports symptoms of inattention, impulsivity, and hyperactivity consistent with ADHD.\n\nAssessment:\n