« previous next »

Author Question: A patient with advanced cirrhosis develops esophageal varices. The nurse anticipates that this ... (Read 52 times)

jake

  • Hero Member
  • *****
  • Posts: 538
on: Jun 25, 2018
A patient with advanced cirrhosis develops esophageal varices. The nurse anticipates that this complication will be addressed by which type of medication(s)? (select all that apply.)
 
  a. Vasodilators
  b. Intravenous (IV) vasopressin (Pitressin)
  c. IV iron
  d. Beta blockers
  e. Vitamin K

Question 2

The patient received a preoperative dose of lorazepam (Ativan) 20 minutes ago. Which safety precaution should the nurse take?
 
  a. Monitor respiratory status.
  b. Raise the bed rails.
  c. Elevate the head of the bed 30 degrees.
  d. Take seizure precautions.


aprice35067

  • Sr. Member
  • ****
  • Posts: 337
Reply #1 on: Jun 25, 2018
Answer to Question 1

B, D, E
Treatment options include administration of parenteral vasopressors such as vasopressin (Pitres-sin) to lower portal pressure, a beta blocker to lower blood pressure, and vitamin K to help rectify clotting factor deficiencies. Vasoconstrictors (not vasodilators) such as somatostatin (Zecnil) and octreotide (Sandostatin) are used to reduce portal blood flow, and iron may exacerbate liver failure.

Answer to Question 2

B
Raising the bed rails is a safety precaution against the dizziness and hypotension caused by this drug.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Did you know?

Asthma cases in Americans are about 75% higher today than they were in 1980.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Visual Acuity Testing: Assist the patient in occluding the eye. Visual Acuity Testing: Assist the patient in occluding the eye.
Esophageal varix Esophageal varix
Providing patient education Providing patient education
Nurse palpating the patient's brachial artery Nurse palpating the patient's brachial artery
Sample new patient registration form. Sample new patient registration form.
Variations in patient response to drugs Variations in patient response to drugs
Video: Summation - defined, spatial, temporal & AP generation or not

For a complete list of videos, visit our video library