NursingPlex
    Sign In
    ATI RN Pharmacology 2023 IV proctored exam

    A nurse in an emergency department is assessing a client who received epinephrine. Which of the following findings should the nurse report as an adverse effect of epinephrine?

    Explanation & Rationale

    A Epinephrine activates beta-adrenergic receptors, leading to increased heart rate, myocardial contractility, and oxygen consumption. This can cause chest pain, especially in clients with underlying cardiovascular disease or coronary artery disease. Chest pain after epinephrine administration should be promptly reported to assess for possible myocardial ischemia or infarction.B. Epinephrine primarily acts on beta-adrenergic receptors to increase heart rate and cardiac output. Bradycardia is an unexpected finding after epinephrine administration and may indicate an abnormal response or potential adverse effect, possibly due to excessive alpha-adrenergic receptor stimulation or an underlying condition. It should be promptly reported for further evaluation and management.C. Epinephrine can stimulate glycogenolysis and gluconeogenesis, leading to transient hyperglycemia. However, in susceptible individuals, particularly those with diabetes or those receiving insulin therapy, epinephrine can cause hypoglycemia due to enhanced glucose uptake and utilization. Symptoms of hypoglycemia, such as confusion, sweating, and tremors, should be monitored and managed promptly if observed.D. Epinephrine primarily acts as a bronchodilator through beta-2 adrenergic receptor stimulation, leading to improved airway patency and increased respiratory rate. Respiratory depression is an uncommon adverse effect of epinephrine and is typically not expected after its administration. If respiratory depression occurs, it may indicate a severe reaction or overdose, requiring immediate intervention and reporting.

    🔒 Submit your answer to reveal