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Author Question: The nurse on the coronary unit is caring for a patient with known coronary artery disease who is ... (Read 127 times)

imanialler

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The nurse on the coronary unit is caring for a patient with known coronary artery disease who is being treated with cholestyramine (Questran) and hydrochlorothiazide (HydroDIURIL). What action will the nurse take?
 
  A) Call the physician and refuse to give the drugs without further orders.
  B) Make sure that the drugs are given at least 2 hours apart.
  C) Give the patient an antacid with the drugs.
  D) Check the patient's blood glucose level before giving the drugs.

Question 2

The emergency department (ED) nurse is caring for a patient who is experiencing pulmonary edema. The patient is treated with furosemide (Lasix). What will the nurse monitor?
 
  A) Sodium levels
  B) Bone narrow function
  C) Calcium levels
  D) Potassium levels



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mrphibs

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Answer to Question 1

B
Feedback:
Because of its effects in the GI tract, cholestyramine should be taken at least 2 hours earlier or later than hydrochlorothiazide to ensure the absorption of hydrochlorothiazide . This combination of drugs can be used effectively. An antacid would further aggravate drug absorption and would not be recommended. Blood glucose levels would not be affected by either of these drugs.

Answer to Question 2

D
Feedback:
Furosemide is associated with loss of potassium, so that the patient will need to be monitored carefully for low potassium levels, which could cause cardiac arrhythmias and further aggravate pulmonary edema. The nurse would not monitor sodium or calcium levels or bone marrow function because of the effects of the drug during the acute treatment of pulmonary edema.





 

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