This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with a history of heart disease develops pulmonary arterial hypertension (PAH), and the ... (Read 89 times)

Yolanda

  • Hero Member
  • *****
  • Posts: 757
on: Jul 23, 2018
A patient with a history of heart disease develops pulmonary arterial hypertension (PAH), and the provider is considering prescribing sildenafil (Revatio).
 
  The nurse caring for this patient will perform a careful drug history and notify the provider if the patient is taking which medication?
  a. A beta blocker
  b. A calcium channel blocker
  c. Nitroglycerin
  d. Warfarin

Question 2

A nurse is quizzing a nursing student who is preparing to care for a patient with cystic fibrosis.
 
  The patient uses inhaled tobramycin (TOBI), dornase alfa (Pulmozyme), ibuprofen, and salmeterol (Serevent Diskus). Which statement by the student indicates understanding of this patient's drug regimen?
  a. Dornase alfa is used as needed to decrease viscosity of sputum.
  b. Ibuprofen is used to minimize pleuritic pain associated with coughing.
  c. Salmeterol acts by causing bronchodilation and improving ciliary function.
  d. Tobramycin is given via a metered-dose inhaler to avoid systemic side effects.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Chelseyj.hasty

  • Sr. Member
  • ****
  • Posts: 319
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Patients taking sildenafil should not take nitroglycerin, since the combination can produce a life-threatening drop in blood pressure. Beta blockers, calcium channel blockers, and warfarin are not contraindicated with sildenafil.

Answer to Question 2

ANS: C
Salmeterol is a long-acting bronchodilator that also improves ciliary function. Dornase alfa decreases sputum viscosity, but must be administered daily for life, not as needed. Ibuprofen is used in cystic fibrosis to suppress the inflammatory response that underlies the destruction of lung tissue. Tobramycin is given using a small-volume nebulizer, not a metered-dose inhaler.


Yolanda

  • Hero Member
  • *****
  • Posts: 757
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Chelseyj.hasty

  • Sr. Member
  • ****
  • Posts: 319
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

The liver is the only organ that has the ability to regenerate itself after certain types of damage. As much as 25% of the liver can be removed, and it will still regenerate back to its original shape and size. However, the liver cannot regenerate after severe damage caused by alcohol.

Did you know?

Multiple experimental evidences have confirmed that at the molecular level, cancer is caused by lesions in cellular DNA.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

Many medications that are used to treat infertility are injected subcutaneously. This is easy to do using the anterior abdomen as the site of injection but avoiding the area directly around the belly button.

Did you know?

Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

Nursing history for mouth and pharyngeal assessment Nursing history for mouth and pharyngeal assessment
Signs of venous and arterial insufficiency Signs of venous and arterial insufficiency
Return of oxygenated blood to the heart and entry into the aorta (red = oxygenated blood, blue = ... Return of oxygenated blood to the heart and entry into the aorta (red = oxygenated blood, blue = ...
Created Equal: A Social and Political History of the United States, Brief Edition Created Equal: A Social and Political History of the United States, Brief Edition
Variations in patient response to drugs Variations in patient response to drugs
Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3) Inadequate Airway, Breathing and Circulation in the Trauma Patient (Part 3)
Video: Medullary osmotic gradient: countercurrent multiplier, urea recycling & vasa recta countercurrent exchange

For a complete list of videos, visit our video library