Author Question: The nurse is performing patient teaching about the urinary anti-infective methenamine (Hiprex). What ... (Read 179 times)

Deast7027 · **on:** Jul 23, 2018

The nurse is performing patient teaching about the urinary anti-infective methenamine (Hiprex). What information is most important for the nurse to share with this patient?

A) Limit fluid intake.
B) Drink orange juice once a day.
C) Take the medication with food.
D) Take the medication at night before going to bed.

Question 2

The patient, diagnosed with cancer, is receiving morphine sulfate (a potent narcotic pain reliever) to relieve cancer pain.

Approximately every 7 days the medication is no longer effective in controlling the patient's pain and a larger dose is needed to have the same effect. How might the nurse explain why this is happening? A) Tolerance
B) Cumulation
C) Interactions
D) Addiction

Mholman93 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

C
Feedback:
The patient should take the medication with food to decrease GI adverse effects. The nurse would encourage the patient to increase fluid intake to flush the bladder and urinary tract frequently and decrease the opportunity for bacteria growth. Orange juice would be contraindicated because it could cause an alkaline rash and produce alkaline urine, which encourages bacterial growth. This drug is taken two to three times a day and not in a single dose at night.

Answer to Question 2

A
Feedback:
The body may develop a tolerance to some drugs over time. Tolerance may arise because of increased biotransformation of the drug, increased resistance to its effects, or other pharmacokinetic factors. When tolerance occurs, the amount of the drug no longer causes the same reaction. Therefore, increasingly larger doses are needed to achieve a therapeutic effect. Cumulative effect occurs when the drug is not properly eliminated and more of the drug is administered, resulting in toxic levels accumulating. Interactions occur when the drug reacts badly with another substance such as food, another drug, or an alternative or complementary therapy. Addiction is the psychological need for a substance.