Author Question: An 88-year-old patient with heart failure has progressed to Stage D and is hospitalized for the ... (Read 35 times)

EAugust · **on:** Jul 23, 2018

An 88-year-old patient with heart failure has progressed to Stage D and is hospitalized for the third time in a month. The nurse will expect to discuss which topic with the patient's family?

a. Antidysrhythmic medications
b. End-of-life care
c. Heart transplantation
d. Implantable mechanical assist devices

Question 2

The nurse is monitoring a patient who is receiving an inhalation treatment with pentamidine NebuPent. The patient begins to cough and states that he is having trouble breathing. What is the best action by the nurse?

a. Administer a PRN dose of a bronchodila-tor.
b. Discontinue the inhalation treatment.
c. Nothing, because these are expected ad-verse effects of pentamidine.
d. Reduce the rate of the inhalation treat-ment.

Question 3

A child is diagnosed with cryptosporidiosis, and the prescriber orders nitazoxanide Alinia. While preparing the child's parents to administer this drug, the nurse will:

a. determine whether the child is taking im-munosuppressant medications.
b. instruct the family to have the child take the drug on an empty stomach.
c. teach the parents that yellow discoloration of the sclerae represents a serious side ef-fect.
d. tell the parents that headache, dry mouth, and a metallic taste are common.

JYan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Patients in Stage D heart failure have advanced structural heart disease. For eligible patients, the best long-term solution is heart transplantation, but this patient probably is not eligible, given his advanced age. End-of-life care should be discussed. Antidysrhythmic medications are not indi-cated and may make symptoms worse. An implantable mechanical assist device is used in pa-tients awaiting heart transplantation.

Answer to Question 2

Boom Correct answer

Answer to Question 3

A
Nitazoxanide is approved for diarrhea caused by Cryptosporidium parvum in children only and is only effective in children who are immunocompetent. The nurse should assess whether the child is taking immunosuppressant medications. This drug should be given with food. Yellow discolo-ration of the sclerae may occur but resolves when the drug is discontinued. Headache, dry mouth, and a metallic taste are common side effects of metronidazole.