This topic contains a solution. Click here to go to the answer

Author Question: A patient who has esophageal cancer is experiencing dry mouth and the provider orders oral ... (Read 178 times)

Evvie72

  • Hero Member
  • *****
  • Posts: 519
A patient who has esophageal cancer is experiencing dry mouth and the provider orders oral pilocarpine to treat this symptom. What will the nurse expect to teach this patient about this me-dication?
 
  a. This medication may cause rapid heart rate and elevated blood pressure.
  b. This medication may cause constipation and gastric discomfort in large doses.
  c. You should experience sweating with this medication and should not have other side effects.
  d. You will begin taking 5 mg three times daily and may increase the dose to 10 mg.

Question 2

An alcoholic patient's spouse asks a nurse about recovery from chronic alcoholism. The patient is confused and has abnormal eye movements and nystagmus. Which statement by the nurse is correct?
 
  a. The symptoms your spouse shows are partly reversible in most people.
  b. These symptoms can be reversed with vitamin therapy and good nutrition.
  c. Your spouse has symptoms of an irre-versible encephalopathy.
  d. Your spouse will probably recover com-pletely after detoxification.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bbburns21

  • Sr. Member
  • ****
  • Posts: 336
Answer to Question 1

D
The dosing for pilocarpine, when used for dry mouth associated with head and neck cancers, is 5 mg three times daily, which may be titrated up to 10 mg three times daily. Tachycardia and con-stipation are side effects of atropine. Sweating occurs with low doses of pilocarpine. Higher dos-es, such as this, are associated with the full range of muscarinic effects.

Answer to Question 2

B
Chronic use of alcohol can produce severe neurologic and psychiatric disorders. This patient shows signs of Wernicke's encephalopathy, which is readily reversible with thiamine. With proper nutrition, the symptoms will clear completely. Korsakoff's psychosis is not reversible; signs of this disorder include polyneuropathy, memory disorders, and confabulation. Wernicke's encephalopathy requires thiamine supplementation and not just detoxification, which is treatment to withdraw alcohol from the patient's system.




Evvie72

  • Member
  • Posts: 519
Reply 2 on: Jul 23, 2018
Gracias!


kilada

  • Member
  • Posts: 311
Reply 3 on: Yesterday
Excellent

 

Did you know?

On average, someone in the United States has a stroke about every 40 seconds. This is about 795,000 people per year.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Did you know?

Eating food that has been cooked with poppy seeds may cause you to fail a drug screening test, because the seeds contain enough opiate alkaloids to register as a positive.

Did you know?

Asthma is the most common chronic childhood disease in the world. Most children who develop asthma have symptoms before they are 5 years old.

For a complete list of videos, visit our video library