Author Question: A patient tells the nurse he has had an exacerbation of hemorrhoidal irritation. What drug would the ... (Read 23 times)

jlmhmf · **on:** Jul 23, 2018

A patient tells the nurse he has had an exacerbation of hemorrhoidal irritation. What drug would the nurse suspect is most likely to contribute to this adverse effect?

A) Bile acid sequestrants
B) Beta-hydroxy-beta-methylglutaryl coenzyme A (HMG-CoA) reductase inhibitors
C) Cholesterol absorption inhibitor
D) Fibrates

Question 2

The nurse is caring for a patient with edema caused by escape of fluid from the intravascular compartment to the extracellular compartment. An IV solution will be administered to draw the fluid back into the intravascular compartment.

What type of solution will the nurse expect to administer? A) Isotonic solution
B) Hypertonic solution
C) Hypotonic solution
D) Osmotic solution

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

Answer to Question 1

A
Feedback:
Direct gastrointestinal (GI) irritation, including nausea, constipation that may progress to fecal impaction, and aggravation of hemorrhoids, may occur with use of bile acid sequestrants. GI irritation, and specifically irritation of hemorrhoids is not associated with use of HMG-CoA reductase inhibitors, cholesterol absorption inhibitors, or fibrates.

Answer to Question 2

B
Feedback:
Hypertonic solutions are those with a higher concentration of solutes than human plasma. They draw water from cells, which would help to draw fluid back into the intravascular space. Hypotonic solutions are fluids that contain a lower concentration of solutes than human plasma, which causes water to be pushed into the cells. Isotonic fluids contain the same concentration of solutes as human plasma and will not cause fluids to shift from one compartment to another. Osmotic solution is a distracter.