Author Question: A patient is receiving sodium nitroprusside (Nitropress) for hypertensive crisis. To prevent ... (Read 59 times)

kfurse · **on:** Jul 23, 2018

A patient is receiving sodium nitroprusside (Nitropress) for hypertensive crisis. To prevent complications of this drug related to fluid retention, the nurse should avoid rapid infusion and be prepared to administer which of the following?

a. Furosemide (Lasix) to prevent edema
b. Beta blocker to counteract reflex tachycardia
c. NSAID to counteract vasodilation
d. Sodium thiosulfate to prevent cyanide poisoning

Question 2

The nurse is performing a physical assessment on a patient with tuberculosis who takes rifampin (Rifadin). Which of the following would be an expected finding?

a. Peripheral neuropathy
b. Myopathy
c. Crystalluria
d. Red-orange-tinged urine

Harbringer · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Sodium nitroprusside can trigger retention of sodium and water. Lasix can help offset this effect.
There is no indication that reflex tachycardia is occurring, therefore administration of a beta blocker is not necessary.
Administration of an NSAID would not counteract vasodilation.
There is no indication the patient has cyanide poisoning.

Answer to Question 2

D
Red-orange-tinged urine is a normal finding associated with rifampin.
Peripheral neuropathy, myopathy, and crystalluria are manifestations of adverse effects.