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

Author Question: A patient will undergo a colonoscopy, and the provider has ordered sodium phosphate as a bowel ... (Read 67 times)

CBme

  • Hero Member
  • *****
  • Posts: 548
on: Jul 23, 2018
A patient will undergo a colonoscopy, and the provider has ordered sodium phosphate as a bowel cleanser before the procedure.
 
  The nurse reviews the patient's chart and notes that the patient's creatinine clearance and blood urea nitrogen are both elevated. What will the nurse do? a. Reduce the amount of fluid given with the laxative to prevent fluid retention.
  b. Request an order to give polyethylene glycol and electrolytes (PEG-ELS) in-stead.
  c. Suggest that the patient reduce the dietary sodium intake.
  d. Suggest using a suppository laxative in-stead.

Question 2

A patient with hypertension has a previous history of opioid dependence. Which medication would the nurse question?
 
  a. Clonidine Catapres
  b. Guanabenz Wytensin
  c. Methyldopa
  d. Reserpine Serpasil


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Brummell1998

  • Sr. Member
  • ****
  • Posts: 324
Reply #1 on: Jul 23, 2018
Answer to Question 1

B
PEG-ELS solutions provide an isosmotic solution and do not cause dehydration or electrolyte imbalance. They are safe to use in patients with renal impairment or cardiovascular disease. This patient's laboratory values suggest renal impairment. Sodium phosphate products can cause kid-ney damage; giving them with less fluid only increases this possibility. Reducing the dietary in-take of sodium is not recommended. Suppositories are not effective bowel cleansing agents.

Answer to Question 2

A
Patients who abuse cocaine, opioids, and other such drugs also frequently abuse clonidine, so this agent would not be the best choice for this patient. The other drugs do not share this abuse potential.


CBme

  • Member
  • Posts: 548
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

upturnedfurball

  • Member
  • Posts: 334
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

There used to be a metric calendar, as well as metric clocks. The metric calendar, or "French Republican Calendar" divided the year into 12 months, but each month was divided into three 10-day weeks. Each day had 10 decimal hours. Each hour had 100 decimal minutes. Due to lack of popularity, the metric clocks and calendars were ended in 1795, three years after they had been first marketed.

Did you know?

There are more sensory neurons in the tongue than in any other part of the body.

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

Alcohol acts as a diuretic. Eight ounces of water is needed to metabolize just 1 ounce of alcohol.

Did you know?

People who have myopia, or nearsightedness, are not able to see objects at a distance but only up close. It occurs when the cornea is either curved too steeply, the eye is too long, or both. This condition is progressive and worsens with time. More than 100 million people in the United States are nearsighted, but only 20% of those are born with the condition. Diet, eye exercise, drug therapy, and corrective lenses can all help manage nearsightedness.

Thyroid scan. The right image is the data from a thyroid scan, printed on a superimposed map of the Thyroid scan. The right image is the data from a thyroid scan, printed on a superimposed map of the
Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
A medical assistant helps the physician with a patient. A medical assistant helps the physician with a patient.
Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ... Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ...
The sodium–glucose cotransport channel The sodium–glucose cotransport channel
Oxidative phase of the pentose phosphate pathway Oxidative phase of the pentose phosphate pathway
Video: Effect of blood chemistry - stimuli, hyperventilation response and hypoventilation response

For a complete list of videos, visit our video library