Author Question: The nurse is caring for a patient in the hospital for pneumonia but also has a severe case of ... (Read 83 times)

ts19998

  • Hero Member
  • *****
  • Posts: 531
The nurse is caring for a patient in the hospital for pneumonia but also has a severe case of psoriasis that is being treated with methotrexate.
 
  During the morning assessments, which of the following lab values would alert the nurse that the patient may be experiencing a side effect to this medication? Select all that apply.
  A)
  Serum potassium (K+) level 3.6 mmol/L
  B)
  Platelet count 37  103/ L
  C)
  Alanine aminotransferase (ALT) 28 units/L
  D)
  White blood cell count 1.2  103/ L

Question 2

A 51-year-old woman who was born congenitally blind and deaf is able to distinguish individuals by light touch of the individual's face. Which of the following components of the woman's skin innervation likely contributes the most to this ability?
 
  A)
  Ruffini corpuscles
  B)
  Meissner corpuscles
  C)
  Pacinian corpuscles
  D)
  Nociceptors



wtf444

  • Sr. Member
  • ****
  • Posts: 314
Answer to Question 1

Ans:
B, D

Feedback:

Methotrexate is an antimetabolite that inhibits DNA synthesis and prevents cell mitosis. Oral methotrexate has been effective in treating psoriasis when other approaches have failed. The side effects include nausea, leukopenia (low WBC count), thrombocytopenia (low platelet count), and liver function abnormalities. The low platelet count corresponds to thrombocytopenia, and the low WBC corresponds to leucopenia. The other lab values, K+ and ALT, are within the normal adult range.

Answer to Question 2

Ans:
B

Feedback:

Meissner corpuscles are rapidly adapting nerve endings located on the palmar surfaces of the fingers and hands; as such, they would be likely to be involved in fine distinction using the fingers. Ruffini corpuscles are located in the subcutaneous tissue of hairy and glabrous skin, while pacinian corpuscles detect gross pressure and vibration. Nociceptors detect painful stimuli.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Certain chemicals, after ingestion, can be converted by the body into cyanide. Most of these chemicals have been removed from the market, but some old nail polish remover, solvents, and plastics manufacturing solutions can contain these substances.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

About 100 new prescription or over-the-counter drugs come into the U.S. market every year.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

Did you know?

People with alcoholism are at a much greater risk of malnutrition than are other people and usually exhibit low levels of most vitamins (especially folic acid). This is because alcohol often takes the place of 50% of their daily intake of calories, with little nutritional value contained in it.

For a complete list of videos, visit our video library