Author Question: A patient with type II diabetes is admitted with complications and nephropathy. A nurse is providing ... (Read 37 times)

natalie2426 · **on:** Jul 23, 2018

A patient with type II diabetes is admitted with complications and nephropathy. A nurse is providing patient education about losartan (Cozaar).

When the patient asks how the medication will help his nephropathy, the nurse should explain that Losartan a. slows the progression of renal disease.
b. enhances insulin production.
c. increases blood pressure to better perfuse the kidneys.
d. prevents further renal damage.

Question 2

The nurse is inundated with victims brought to the emergency department after exposure to anthrax.

The nurse is assigned to care for an apparently terminal patient showing signs and symptoms of septicemia, hemorrhagic meningitis, and respiratory distress. What intervention by the nurse would be most appropriate for this patient? a. Administer packed red blood cells (PRBCs).
b. Provide palliative care.
c. Administer an anticoagulant.
d. Administer the antitoxin.

durant1234 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Losartan is approved for managing nephropathy in hypertensive patients with type II diabetes mellitus. It delays the development of overt nephropathy and slows the progression of estab-lished renal disease.
Losartan does not affect insulin production.
Losartan decreases the blood pressure.
Losartan slows the progression of renal disease, but it does not prevent further renal damage.

Answer to Question 2

B
Palliative care is most appropriate for this terminal patient, who apparently has been exposed to inhalation anthrax. In mass casualty situations, supplies are reserved for those with the greatest chance of survival.
Administration of PRBCs would not help this dying patient, nor would administration of an an-ticoagulant.
No antitoxin is available for anthrax.