This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse provides teaching for a patient who will begin taking bosentan (Tracleer) for pulmonary ... (Read 71 times)

rayancarla1

  • Hero Member
  • *****
  • Posts: 571
on: Jul 23, 2018
The nurse provides teaching for a patient who will begin taking bosentan (Tracleer) for pulmonary arterial hypertension (PAH). Which statement by the patient indicates a need for further teaching about this medication?
 
  a. I may take this medication with or without food.
  b. I may develop irreversible liver damage while taking this drug.
  c. I should not take cyclosporine while taking this medication.
  d. I will need to have lab tests every month while taking this drug.

Question 2

A patient who has pulmonary arterial hypertension (PAH) is receiving epoprostenol (Flolan) at a rate of 210 ng per minute using a portable pump.
 
  The patient weighs 70 kg. The patient calls the clinic to report headache, nausea, and vomiting. The nurse will counsel the patient to:
  a. decrease the infusion to 100 ng per minute.
  b. discuss these side effects with the provider.
  c. prepare for a hospital admission.
  d. stop the infusion and contact the provider.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

harveenkau8139

  • Sr. Member
  • ****
  • Posts: 304
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Liver injury may occur with bosentan but all cases to date have been reversible. The medication may be taken without regard to meals. Patients taking bosentan should not take cyclosporine concurrently. Patients will need to have liver enzymes measured monthly while taking the drug.

Answer to Question 2

ANS: B
Headache, nausea, and vomiting are common side effects of epoprostenol and are dose dependent. Patients should contact their provider to discuss these side effects and any necessary dosage adjustments. One hundred ng per minute is below the maintenance dose range for this patient; patients should not adjust doses without contacting the provider. The side effects are not serious and do not warrant hospitalization. Interruption of the drug can have life-threatening consequences.


rayancarla1

  • Member
  • Posts: 571
Reply 2 on: Jul 23, 2018
:D TYSM

anyusername12131

  • Member
  • Posts: 327
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

Eating food that has been cooked with poppy seeds may cause you to fail a drug screening test, because the seeds contain enough opiate alkaloids to register as a positive.

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Did you know?

The highest suicide rate in the United States is among people ages 65 years and older. Almost 15% of people in this age group commit suicide every year.

Did you know?

Every 10 seconds, a person in the United States goes to the emergency room complaining of head pain. About 1.2 million visits are for acute migraine attacks.

Patient teaching: mouth and pharyngeal assessment Patient teaching: mouth and pharyngeal assessment
The proportion of men and women with elevated blood pressure or taking hypertension medication incre The proportion of men and women with elevated blood pressure or taking hypertension medication incre
Effective listening skills demonstrate empathy to the patient and break down barriers to communicati Effective listening skills demonstrate empathy to the patient and break down barriers to communicati
Digital recording devices can be helpful when providing patient education to visually impaired ... Digital recording devices can be helpful when providing patient education to visually impaired ...
Bilateral psoriasis on a patient’s knees. Bilateral psoriasis on a patient’s knees.
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
Video: Exercise and cardiac output

For a complete list of videos, visit our video library