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

Author Question: A nurse is providing education about the various routes of nitroglycerin (NTG). The nurse correctly ... (Read 14 times)

formula1

  • Hero Member
  • *****
  • Posts: 666
on: Jul 23, 2018
A nurse is providing education about the various routes of nitroglycerin (NTG). The nurse correctly states that sublingual NTG can be used in lower dosages than drugs given by other routes, because it
 
  a. is not directly absorbed into the bloodstream.
  b. bypasses the liver.
  c. is 100 times more potent.
  d. is acid labile.

Question 2

Prior to discharge, the nurse is reviewing the medications of a patient with diabetes. The nurse realizes that he will be going home on colesevelam, a bile acid sequestrant, and insulin.
 
  What patient education should the nurse provide in the discharge teaching for this patient?
  a. The patient needs to monitor his blood sugar carefully, because colesevelam can cause hypoglycemia.
  b. The patient needs to monitor his blood sugar carefully, because colesevelam can cause hyperglycemia.
  c. The patient needs to take his insulin at least 3 hours before the colesevelam.
  d. The patient needs to use an oral antidiabetic agent or agents, not insulin, with colesevelam.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

joshraies

  • Sr. Member
  • ****
  • Posts: 351
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Sublingual (SL) medications are not subject to the first-pass effect of the liver. Oral (PO) nitroglycerin, on the other hand, undergoes rapid inactivation by hepatic enzymes.
SL nitroglycerin is directly absorbed into the bloodstream.
SL nitroglycerin is not 100 times higher than the PO dose; however, it is immediately available to the system, because it is not broken down by the liver.
SL nitroglycerin is not acid labile; it is not even exposed to the gut.

Answer to Question 2

ANS: A
Colesevelam can help control hyperglycemia in patients with diabetes, therefore hypoglycemia is a possible risk.
Hyperglycemia is not a risk for patients with diabetes who take colesevelam.
Insulin and colesevelam do not interact, therefore the insulin can be taken at the patient's preferred time or times.
Either insulin or oral antidiabetic agents can be taken with colesevelam.


formula1

  • Member
  • Posts: 666
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

dyrone

  • Member
  • Posts: 322
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

Side effects from substance abuse include nausea, dehydration, reduced productivitiy, and dependence. Though these effects usually worsen over time, the constant need for the substance often overcomes rational thinking.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

Did you know?

For high blood pressure (hypertension), a new class of drug, called a vasopeptidase blocker (inhibitor), has been developed. It decreases blood pressure by simultaneously dilating the peripheral arteries and increasing the body's loss of salt.

The nurse cares for the postop client in the postanesthesia care unit (PACU). The nurse cares for the postop client in the postanesthesia care unit (PACU).
To check pupillary reflexes the nurse first holds the penlight To check pupillary reflexes the nurse first holds the penlight
Routes for the human colonization of the New World and Pacific islands. Routes for the human colonization of the New World and Pacific islands.
Which row identifies correctly the excitatory and inhibitory neurons? Select one: Which row identifies correctly the excitatory and inhibitory neurons? Select one:
B. Georges de la Tour The Education of the Virgin B. Georges de la Tour The Education of the Virgin
Education is not the learning of facts, but the training of minds to think Education is not the learning of facts, but the training of minds to think
Video: Gastrin (protein digestion)

For a complete list of videos, visit our video library