Author Question: A nurse has arrived at work late and missed report. While reviewing the patient's medications, the ... (Read 32 times)

roselinechinyere27m · **on:** Jul 23, 2018

A nurse has arrived at work late and missed report. While reviewing the patient's medications, the nurse notes that the patient is on an irreversible cholinesterase inhibitor.

The nurse under-stands that the only indication for an irreversible cholinesterase inhibitor would be a. glaucoma.
b. myasthenia gravis.
c. muscular dystrophy.
d. hypertension.

Question 2

A nurse is providing patient education about the benefits of moderate versus excessive drinking. Which of the following statements made by the patient indicates a need for further teaching?

a. Moderate drinking is defined as two drinks a day for men.
b. Chronic drinking leads to erosive gastritis.
c. Moderate drinking raises low-density lipoprotein cholesterol.
d. Chronic use of alcohol damages the myocardium.

rleezy04 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
The irreversible cholinesterase inhibitors have only one indication: the treatment of glaucoma.
Myasthenia gravis is not an indication for an irreversible cholinesterase inhibitor.
Muscular dystrophy is not an indication for an irreversible cholinesterase inhibitor.
Hypertension is not an indication for an irreversible cholinesterase inhibitor.

Answer to Question 2

C
Available data suggest that alcohol protects against heart disease largely by raising levels of high-density lipoprotein (HDL) cholesterol and protects low-density lipoprotein (LDL) from oxidation (LDL must first be oxidized before it can promote atherosclerosis). This statement in-dicates a need for further teaching.
Clear evidence indicates that people who drink moderately (two drinks a day or fewer for men, 1 drink a day or fewer for women) experience less coronary artery disease; no further teaching is required.
Erosive gastritis is a result of excessive alcohol abuse caused by increased stimulation of gastric acid secretions; no further teaching is required.
Chronic and excessive consumption is clearly harmful, resulting in direct damage to the myocar-dium, which increases the risk of MI and stroke; no further teaching is required.