Author Question: An older patient is receiving a nephrotoxic medication. Which of the following would be a priority ... (Read 39 times)

vHAUNG6011 · **on:** Jun 25, 2018

An older patient is receiving a nephrotoxic medication. Which of the following would be a priority for the nurse to monitor?

a. Electrocardiogram
b. Lung sounds
c. Blood pressure
d. Level of consciousness

Question 2

A patient is admitted to the CCU complaining of pain from a femur fracture and is anxious and agitated. The patient is receiving steroids and theophylline for exacerbation of asthm

a. The nurse should assess the patient for

a. anxiety.
b. low self-esteem.
c. regression.
d. suicidal ideations.

wshriver · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
Decrease in number and size of nephrons begins in the cortical regions and progresses toward the medullary portions of the kidney. This decrease in number of nephrons corresponds to a 20 decrease in weight of the kidneys between 40 and 80 years of age. Initially, this loss of nephrons does not appreciably alter renal function because of the large renal reserve and a simultaneous decrease in lean muscle mass.

Answer to Question 2

A
Pain triggers anxiety, and increased anxiety intensifies pain experiences. This reciprocal relationship varies, depending on whether pain is produced by disease processes or invasive procedures, is acute or chronic in nature, or if the pain is anticipated. Medications such as theophylline, anticholinergics, dopamine, levodopa, salicylates, and steroids can also contribute to feelings of anxiety. Self-esteem refers to how well one's behavior correlates with a sense of the ideal self and is most closely linked to one's sense of self-worth. Regression is an unconscious defense mechanism characterized by a retreat, in the face of stress, to behaviors characteristic of an earlier developmental level.