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

Author Question: A patient has received an initial dose of glatiramer acetate (Copaxone) for relapsing-remitting ... (Read 27 times)

Yolanda

  • Hero Member
  • *****
  • Posts: 757
on: Jul 23, 2018
A patient has received an initial dose of glatiramer acetate (Copaxone) for relapsing-remitting multiple sclerosis. The nurse notes that the patient appears flushed and anxious and has urticaria.
 
  The patient reports palpitations, chest pain, and a feeling of laryngeal constriction. What will the nurse do?
  a. Obtain an order for epinephrine to treat a hypersensitivity reaction.
  b. Prepare to provide cardiorespiratory support.
  c. Report a possible cardiotoxic episode to the provider.
  d. Stay with the patient until this self-limiting episode passes.

Question 2

A nurse is caring for an older adult patient who has Alzheimer's disease. The patient is taking a cholinesterase inhibitor drug. Which side effects would concern the nurse?
 
  a. Confusion and memory impairment
  b. Dizziness and headache
  c. Nausea, vomiting, and diarrhea
  d. Slowed heart rate and lightheadedness


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

olivia_paige29

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
About 10 of patients taking glatiramer acetate experience a self-limited postinjection reaction characterized by flushing, palpitations, severe chest pain, anxiety, laryngeal constriction, and urticaria; the episode usually lasts 15 to 20 minutes. No treatment is required, but the nurse should stay with the patient to help alleviate anxiety associated with this reaction. Epinephrine is not indicated. Cardiorespiratory support is not necessary. This does not represent a cardiotoxic reaction.

Answer to Question 2

ANS: D
Cardiovascular effects of cholinesterase inhibitor drugs are uncommon but cause the most concern. Bradycardia and fainting can occur when cholinergic receptors in the heart are activated. Confusion and memory impairment are signs of the disease and are not side effects of the drug. Dizziness, headache, nausea, vomiting, and diarrhea are all expected adverse effects, and although uncomfortable, they do not present an increased risk to the patient.


Yolanda

  • Member
  • Posts: 757
Reply 2 on: Jul 23, 2018
:D TYSM

miss.ashley

  • Member
  • Posts: 371
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

Computer programs are available that crosscheck a new drug's possible trade name with all other trade names currently available. These programs detect dangerous similarities between names and alert the manufacturer of the drug.

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Did you know?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

The shortest mature adult human of whom there is independent evidence was Gul Mohammed in India. In 1990, he was measured in New Delhi and stood 22.5 inches tall.

Patient teaching: female breast assessment Patient teaching: female breast assessment
A physician uses a portable electronic tablet to enter patient data while in the examination room. A physician uses a portable electronic tablet to enter patient data while in the examination room.
Foley catheter with balloon in the bladder of a male patient. Foley catheter with balloon in the bladder of a male patient.
Instructing a Patient on Breast Self-Examination Instructing a Patient on Breast Self-Examination
Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ... Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ...
The initial timing is where the spark plug fires at idle speed. The computer then advances the ... The initial timing is where the spark plug fires at idle speed. The computer then advances the ...
Video: Darwin's Observation (Fossils, Galapagos Islands & Africa ) and Natural Selection (Adaptive Traits)

For a complete list of videos, visit our video library