« previous next »

Author Question: The nurse notes all of the following changes in the last week in a 72-year-old nursing home patient ... (Read 61 times)

magmichele12

  • Hero Member
  • *****
  • Posts: 559
on: Jul 23, 2018
The nurse notes all of the following changes in the last week in a 72-year-old nursing home patient taking nortriptyline (Pamelor) for chronic pain. For which problem does the nurse imme-diately notify the prescriber?
 
  a. Heart rate decreased from 80 to 72 beats per minute
  b. Respiratory rate decreased from 20 to 16 breaths per minute
  c. Weight increased from 128 to 137 pounds
  d. Morning blood glucose increased from 86 to 94 mg/dL

Question 2

Which statement by a patient who has been prescribed an antilipidemic drug indicates to the nurse the need for additional teaching?
 
  a. Once my lipid profile levels are normal, I will no longer need to take the drug.
  b. Taking this drug will decrease my risk for having a heart attack.
  c. My goal is to increase my HDL cholesterol and decrease my LDL cholesterol.
  d. I will continue walking and watching the fat in my diet while I'm taking this drug.


pami445

  • Sr. Member
  • ****
  • Posts: 303
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Nortriptyline is an antidepressant. These drugs can make heat failure worse and can cause urinary retention. Fluid retention with weight gain is a symptom of worsening heart failure. A weight gain of 9 pounds in a week is significant and an indicator of rapidly worsening heart failure.

Answer to Question 2

A
All lipid-lowering drugs reduce high blood lipid levels, but they do not cure the problem. Treat-ment is long term, and these drugs need to be taken even after blood fat levels are normal.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

magmichele12

  • Hero Member
  • *****
  • Posts: 559
Reply #2 on: Jul 23, 2018
Thanks


pami445

  • Sr. Member
  • ****
  • Posts: 303
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Human kidneys will clean about 1 million gallons of blood in an average lifetime.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

The first war in which wide-scale use of anesthetics occurred was the Civil War, and 80% of all wounds were in the extremities.

Did you know?

Illicit drug use costs the United States approximately $181 billion every year.

Female nursing young. Female nursing young.
Physical assessment is one component of the nursing database Physical assessment is one component of the nursing database
Nursing sensitive outcome Nursing sensitive outcome
Patient education Patient education
The medical assistant often has to reassure and comfort the patient before effective communication c The medical assistant often has to reassure and comfort the patient before effective communication c
Each year, the leaders of the world’s eight most powerful nations meet in a secluded place to make ... Each year, the leaders of the world’s eight most powerful nations meet in a secluded place to make ...
Video: Electromagnetic Spectrum, Chlorophyll and Pigment & Light

For a complete list of videos, visit our video library