Author Question: A patient diagnosed with rosacea has been prescribed topical metronidazole (MetroGel). The nurse ... (Read 155 times)

Metfan725 · **on:** Jul 23, 2018

A patient diagnosed with rosacea has been prescribed topical metronidazole (MetroGel). The nurse would teach which other management strategies?

1. Avoid drinking alcohol.
2. Spend some time in the sun each day.
3. Avoid eating spicy foods.
4. Drink your coffee at room temperature.
5. Keep the temperature in your home warmer.

Question 2

A client having an abdominal resection also has a history of myasthenia gravis. Due to the risk of nitrous oxide, what does the nurse anticipate this client to be at a greater risk for developing?

1. Increased heart rate and respiratory depression
2. Nausea and vomiting during surgery
3. Decreased intracranial pressure and diuresis
4. Respiratory depression and prolonged hypnotic effects

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

Answer to Question 1

1, ,4
Rationale 1: Alcohol dilates facial blood vessels and can make rosacea worse.
Rationale 2: Sunlight should be avoided as it can make rosacea worse.
Rationale 3: Spicy food should be avoided as they dilate facial blood vessels and can make rosacea worse.
Rationale 4: Warm beverages should be avoided as they dilate facial blood vessels and can make rosacea worse.
Rationale 5: The patient should avoid warm temperatures as they can dilate facial blood vessels, which makes rosacea worse.

Global Rationale: Conditions that dilate facial blood vessels such as alcohol consumption, sunlight, spicy foods, warm beverages, and warm temperatures can dilate facial blood vessels, which makes rosacea worse.

Answer to Question 2

4

Rationale 1:Patients with cardiovascular disease should be monitored but increased heart rate is not associated with cardiovascular disease.
Rationale 2: Nausea and vomiting can occur after surgery.
Rationale 3: Decreased intracranial pressure and vomiting are not associated with nitrous oxide and myasthenia gravis patients.
Rationale 4: Nitrous oxide should be used cautiously in patients with myasthenia gravis because it can cause respiratory depression and prolonged hypnotic effects.

Global Rationale: Nitrous oxide should be used cautiously in patients with myasthenia gravis because it can cause respiratory depression and prolonged hypnotic effects. Patients with cardiovascular disease, especially those with increased intracranial pressure, should be monitored carefully because the hypnotic effects of the drug can be prolonged or more powerful.