This topic contains a solution. Click here to go to the answer

Author Question: A patient complains of vomiting, diarrhea, and insomnia. During the assessment, the patient begins ... (Read 2853 times)

LCritchfi

  • Hero Member
  • *****
  • Posts: 519
A patient complains of vomiting, diarrhea, and insomnia. During the assessment, the patient begins having seizures. The nurse suspects theophylline toxicity. Which of the following actions would be the nurse's priority intervention?
 
  a. Obtain a stat theophylline level.
  b. Call the prescriber.
  c. Administer charcoal.
  d. Protect the patient from injury and monitor the airway.

Question 2

A patient in heart failure shows a decrease in the glomerular filtration rate. The patient has been taking digoxin (Lanoxin) and hydrochlorothiazide (HydroDIURIL).
 
  Considering the change in the patient's status, what change in the medication regimen would the nurse anticipate? a. A change from hydrochlorothiazide (HydroDIURIL) to furosemide (Lasix)
  b. A change from hydrochlorothiazide (HydroDIURIL) to spironolactone (Aldac-tone)
  c. A change from hydrochlorothiazide (HydroDIURIL) to mannitol (Osmitrol)
  d. A change from digoxin (Lanoxin) to verapamil (Calan)



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jxjsniuniu

  • Sr. Member
  • ****
  • Posts: 343
Answer to Question 1

D
When a patient is having a seizure, regardless of the potential cause, the priority of care is patient safety, along with airway, breathing, and circulation (ABCs).
Although blood should be drawn for measurement of a stat theophylline level. it should not be done until the patient's condition has stabilized.
Although the prescriber should be called, that activity can be delegated to someone else while the nurse takes care of the emergency needs of the patient.
Although the symptoms of theophylline toxicity are present (nausea, vomiting, diarrhea, sei-zures), the diagnosis of theophylline toxicity has not been confirmed by serum values, therefore administering activated charcoal at this time would be premature.

Answer to Question 2

A
The decrease in the GFR indicates the need for a stronger diuretic to help pull volume off the patient. Furosemide is the drug of choice for diuresis. Loop diuretics are preferred to thiazides when cardiac output is greatly reduced and renal insufficiency is a factor.
Spironolactone is not as strong a diuretic as furosemide and would not facilitate the GFR as well.
Mannitol is indicated for brain injury and hydrocephalus.
Nothing indicates that digoxin should be changed to verapamil; the issue in this scenario is the low GFR and the fact that thiazide diuretics are not effective in patients with renal dysfunction.




LCritchfi

  • Member
  • Posts: 519
Reply 2 on: Jul 23, 2018
Wow, this really help


meow1234

  • Member
  • Posts: 333
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

Did you know?

There are actually 60 minerals, 16 vitamins, 12 essential amino acids, and three essential fatty acids that your body needs every day.

Did you know?

Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

Did you know?

Opium has influenced much of the world's most popular literature. The following authors were all opium users, of varying degrees: Lewis Carroll, Charles, Dickens, Arthur Conan Doyle, and Oscar Wilde.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

For a complete list of videos, visit our video library