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Author Question: What is the priority nursing diagnosis for an 89-year-old patient with frequent liquid stools? A) ... (Read 51 times)

JGIBBSON

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on: Jul 23, 2018
What is the priority nursing diagnosis for an 89-year-old patient with frequent liquid stools?
 
  A) Imbalanced nutrition: less than body requirements
  B) Deficient fluid volume
  C) Deficient knowledge related to medications
  D) Pain related to abdominal cramping

Question 2

The nurse is caring for a patient following repeat coronary artery bypass grafting who has excessive bleeding. What systemic hemostatic drug will the nurse expect to administer?
 
  A) Thrombin recombinant
  B) Microfibrillar collagen
  C) Human fibrin sealant
  D) Aminocaproic acid (Amicar)


lgoldst9

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Feedback:
Fluid volume deficits may develop rapidly in older adults with diarrhea. Older adults are more likely to develop adverse effects associated with the use of these drugs, including sedation, confusion, dizziness, electrolyte disturbances, fluid imbalance, and cardiovascular effects. Although nutrition, pain, and knowledge deficit may be concerns for this patient, they are not the priority concern.

Answer to Question 2

D
Feedback:
The hemostatic drug that is used systemically is aminocaproic acid (Amicar). Topical hemostatic agents include absorbable gelatin (Gelfoam), human fibrin sealant (Artiss, Evicel), microfibrillar collagen (Avitene), thrombin (Thrombinar, Thrombostat), and thrombin recombinant (Recothrom).


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JGIBBSON

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


lgoldst9

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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