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 179 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!


amynguyen1221

  • Member
  • Posts: 355
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

Symptoms of kidney problems include a loss of appetite, back pain (which may be sudden and intense), chills, abdominal pain, fluid retention, nausea, the urge to urinate, vomiting, and fever.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

For a complete list of videos, visit our video library