{"id":178,"date":"2019-10-17T17:02:07","date_gmt":"2019-10-17T21:02:07","guid":{"rendered":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/chapter\/4-16-module-learning-activities\/"},"modified":"2022-01-21T18:31:39","modified_gmt":"2022-01-21T23:31:39","slug":"4-17-module-learning-activities","status":"publish","type":"chapter","link":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/chapter\/4-17-module-learning-activities\/","title":{"raw":"4.17 Clinical Reasoning and Decision-Making Learning Activities","rendered":"4.17 Clinical Reasoning and Decision-Making Learning Activities"},"content":{"raw":"
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\r\n

Lightbulb Moment\"Image<\/h2>\r\n<\/header>\r\n
\r\n\r\nTest your knowledge and application.<\/strong>\r\n\r\nPractice applying your knowledge regarding ANS neuroreceptors to the following client scenarios where a nurse must use clinical judgment for a solution:\r\n\r\n1. A client begins a nicotine patch in an attempt to stop smoking. The client reports feelings of nausea, weakness, and a rapid heartbeat. What is the likely cause of these symptoms, and what is the nurse's best response?\r\n\r\n2. A client with benign prostatic hyperplasia (BPH) has a new order for tamsulosin.\u00a0 He asks, \"How will tamsulosin help me? I already take so many pills.\"\r\n

a) What is the nurse's best response?<\/p>\r\n

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

a) How will albuterol assist in her breathing?<\/p>\r\nThe client states, \"After I take albuterol, it feels like my heart is racing.\"\r\n

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

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

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

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

c) What\u00a0 could be a potential cause of this new finding?<\/p>\r\n

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

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

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

c) What\u00a0 could be a potential cause of this new finding?<\/p>\r\n

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

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

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

\n
\n
\n

Lightbulb Moment\"Image<\/h2>\n<\/header>\n
\n

Test your knowledge and application.<\/strong><\/p>\n

Practice applying your knowledge regarding ANS neuroreceptors to the following client scenarios where a nurse must use clinical judgment for a solution:<\/p>\n

1. A client begins a nicotine patch in an attempt to stop smoking. The client reports feelings of nausea, weakness, and a rapid heartbeat. What is the likely cause of these symptoms, and what is the nurse’s best response?<\/p>\n

2. A client with benign prostatic hyperplasia (BPH) has a new order for tamsulosin.\u00a0 He asks, “How will tamsulosin help me? I already take so many pills.”<\/p>\n

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

b) What does the nurse plan to monitor carefully, especially after administering the first dose of tamsulosin?<\/p>\n

3. A client with asthma is taking albuterol to help when she feels increased shortness of breath.<\/p>\n

a) How will albuterol assist in her breathing?<\/p>\n

The client states, “After I take albuterol, it feels like my heart is racing.”<\/p>\n

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

c) What is the nurse’s best response to the client’s concern?<\/p>\n

4. A client with high blood pressure is prescribed propranolol.<\/p>\n

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

b) What will the nurse assess before administering the propranolol?<\/p>\n

The nurse listens to the client’s lungs a few hours after administering propranolol and notices new wheezing.<\/p>\n

c) What\u00a0 could be a potential cause of this new finding?<\/p>\n

d) What is the nurse’s next best response?<\/p>\n

5. A client is prescribed metoprolol to help control his atrial fibrillation, an irregular heart rhythm.<\/p>\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>\n

Upon reassessment the next day, the nurse notices a new finding of edema in the client’s feet and lower legs.<\/p>\n

c) What\u00a0 could be a potential cause of this new finding?<\/p>\n

d) What is the nurse’s next best response?<\/p>\n

6. A client with an acute episode of heart failure is admitted and is prescribed dobutamine.<\/p>\n

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

b) What will the nurse monitor carefully during administration?<\/p>\n<\/div>\n

Note: Answers to the Light Bulb Moment can be found in the “Answer Key<\/a>” sections at the end of the book.<\/p>\n<\/div>\n<\/div>\n","protected":false},"author":103,"menu_order":17,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":["open-resources-for-nursing-open-rn"],"pb_section_license":""},"chapter-type":[48],"contributor":[68],"license":[],"class_list":["post-178","chapter","type-chapter","status-publish","hentry","chapter-type-numberless","contributor-open-resources-for-nursing-open-rn"],"part":138,"_links":{"self":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/178","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/users\/103"}],"version-history":[{"count":5,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/178\/revisions"}],"predecessor-version":[{"id":2414,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/178\/revisions\/2414"}],"part":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/parts\/138"}],"metadata":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapters\/178\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/media?parent=178"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/pressbooks\/v2\/chapter-type?post=178"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/contributor?post=178"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/pressbooks.bccampus.ca\/nursingpharmacology\/wp-json\/wp\/v2\/license?post=178"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}