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

Author Question: A patient will undergo a colonoscopy, and the provider has ordered sodium phosphate as a bowel ... (Read 74 times)

CBme

  • Hero Member
  • *****
  • Posts: 548
on: Jul 23, 2018
A patient will undergo a colonoscopy, and the provider has ordered sodium phosphate as a bowel cleanser before the procedure.
 
  The nurse reviews the patient's chart and notes that the patient's creatinine clearance and blood urea nitrogen are both elevated. What will the nurse do? a. Reduce the amount of fluid given with the laxative to prevent fluid retention.
  b. Request an order to give polyethylene glycol and electrolytes (PEG-ELS) in-stead.
  c. Suggest that the patient reduce the dietary sodium intake.
  d. Suggest using a suppository laxative in-stead.

Question 2

A patient with hypertension has a previous history of opioid dependence. Which medication would the nurse question?
 
  a. Clonidine Catapres
  b. Guanabenz Wytensin
  c. Methyldopa
  d. Reserpine Serpasil


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Brummell1998

  • Sr. Member
  • ****
  • Posts: 324
Reply #1 on: Jul 23, 2018
Answer to Question 1

B
PEG-ELS solutions provide an isosmotic solution and do not cause dehydration or electrolyte imbalance. They are safe to use in patients with renal impairment or cardiovascular disease. This patient's laboratory values suggest renal impairment. Sodium phosphate products can cause kid-ney damage; giving them with less fluid only increases this possibility. Reducing the dietary in-take of sodium is not recommended. Suppositories are not effective bowel cleansing agents.

Answer to Question 2

A
Patients who abuse cocaine, opioids, and other such drugs also frequently abuse clonidine, so this agent would not be the best choice for this patient. The other drugs do not share this abuse potential.


CBme

  • Member
  • Posts: 548
Reply 2 on: Jul 23, 2018
Wow, this really help

JaynaD87

  • Member
  • Posts: 368
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

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?

Stroke kills people from all ethnic backgrounds, but the people at highest risk for fatal strokes are: black men, black women, Asian men, white men, and white women.

Did you know?

The immune system needs 9.5 hours of sleep in total darkness to recharge completely.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Polycystic kidney disease. Notice the presence of numerous fluid-filled sacs, or cysts, in these kid Polycystic kidney disease. Notice the presence of numerous fluid-filled sacs, or cysts, in these kid
Release of ordered water favors formation of an enzyme-substrate complex Release of ordered water favors formation of an enzyme-substrate complex
Reputable Websites for Patient Education Cont. Reputable Websites for Patient Education Cont.
Patient Education Follow-up Plan Patient Education Follow-up Plan
Distribution of glucose-6-phosphate dehydrogenase (G6PD) deficiency in various Jewish populations. B Distribution of glucose-6-phosphate dehydrogenase (G6PD) deficiency in various Jewish populations. B
The four RNA ribonucleotides. Shown in their mono-phosphate forms The four RNA ribonucleotides. Shown in their mono-phosphate forms
Video: Control of ventilation rate by other brain centers (posts, hypothalamus & cerebral cortex)

For a complete list of videos, visit our video library