The nurse reviews the patient data and health history of a ...

[james9437]

The nurse reviews the patient data and health history of a patient who is prescribed tegaserod (Zelnorm) for treatment of IBS. For which of the following patients should the nurse question the order? (Select all that apply.)
 
  a. The patient who is a 56-year-old male.
  b. The patient who has irritable bowel syndromeconstipatio n.
  c. The patient who has a history of sulfa allergy.
  d. The patient who is a chronic dialysis patient.
  e. The patient who is a 40-year-old female.

Question 2

The nurse is caring for a patient with chronic back pain, for which the patient takes opiates daily. To help prevent nausea, the patient also takes metoclopramide (Reglan).
 
  For which of the following signs and symptoms would the nurse administer intravenous (IV) diphenhydramine (Benadryl)?
  a. Severe spasms of the tongue, face, and neck
  b. Dry mouth and urinary retention
  c. Diarrhea and abdominal cramps
  d. Constipation

[prumorgan]

Answer to Question 1

ANS: A, D
The nurse should question the order for tegaserod for the male patient and also for the chronic dialysis patient. The drug is approved only for use in females under the age of 55. It is contraindicated in severe renal impairment.
Tegaserod is not contraindicated for the patient with constipation, because it is used to treat constipation-predominant IBS.
It is not contraindicated in patients with sulfa allergies.
Tegaserod is approved for use in women under 55.

Answer to Question 2

ANS: A
The nurse should administer diphenhydramine for extrapyramidal reactions (ie, severe spasms of the tongue, neck, and face), which are caused by long-term use of metoclopramide.
IV diphenhydramine is not indicated for dry mouth, urinary retention, diarrhea, or constipation.

[james9437]

Excellent

[scottmt]

Thanks for the timely response, appreciate it