« previous next »

Author Question: The patient receives reteplase (Retavase) intravenously (IV). The nurse assesses the patient for ... (Read 30 times)

Collmarie

  • Hero Member
  • *****
  • Posts: 569
on: Jul 23, 2018
The patient receives reteplase (Retavase) intravenously (IV). The nurse assesses the patient for orientation and level of consciousness. The patient's wife asks the nurse why this is being done.
 
  What does the nurse indicate as the reason for the assessment?
  1. The medication can alter fluid balance; this affects orientation and level of consciousness.
  2. The medication can cause bleeding in the brain; this affects orientation and level of consciousness.
  3. The medication causes hypoglycemia; this affects orientation and level of consciousness.
  4. The medication decreases oxygen to the brain; this decreases orientation and level of consciousness.

Question 2

The patient is receiving diltiazem (Cardizem) and wants to know why he developed a headache after taking the medication. What is the best response by the nurse?
 
  1. Diltiazem (Cardizem) causes the blood vessels in your brain to widen; giving you the headache.
  2. Diltiazem (Cardizem) increases prostaglandin synthesis; giving you the headache.
  3. Diltiazem (Cardizem) releases Substance P, activating pain receptors in your brain and giving you the headache.
  4. Diltiazem (Cardizem) causes the blood vessels in your brain to narrow; giving you the headache.


Sweetkitty24130

  • Sr. Member
  • ****
  • Posts: 291
Reply #1 on: Jul 23, 2018
Answer to Question 1

Correct Answer: 2
Rationale: Cerebral hemorrhage is a concern with reteplase (Retavase) therapy; the nurse must assess for changes in mental and neurological status. Reteplase (Retavase) does not decrease oxygen to the brain. Reteplase (Retavase) does not cause hypoglycemia. Reteplase (Retavase) does not alter fluid balance in the body.

Answer to Question 2

Correct Answer: 1
Rationale: Side effects of diltiazem (Cardizem) are generally not serious and are related to vasodilation: headache, dizziness, and edema of the ankles and feet. Side effects of diltiazem (Cardizem) are related to vasodilation, not vasoconstriction. Diltiazem (Cardizem) does not alter prostaglandin synthesis. Diltiazem (Cardizem) does not lead to a release of Substance P.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

Collmarie

  • Hero Member
  • *****
  • Posts: 569
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Sweetkitty24130

  • Sr. Member
  • ****
  • Posts: 291
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

More than one-third of adult Americans are obese. Diseases that kill the largest number of people annually, such as heart disease, cancer, diabetes, stroke, and hypertension, can be attributed to diet.

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?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

Thyroid conditions cause a higher risk of fibromyalgia and chronic fatigue syndrome.

Did you know?

More than 150,000 Americans killed by cardiovascular disease are younger than the age of 65 years.

NURSE NURSE
Documenting the health history is a crucial step in providing patient care Documenting the health history is a crucial step in providing patient care
For ice massage, ice is frozen in a cylindrical container or a paper cup (A). The top half of the cu For ice massage, ice is frozen in a cylindrical container or a paper cup (A). The top half of the cu
Positioning the Patient in the Fowler’s Position Positioning the Patient in the Fowler’s Position
Reputable Websites for Patient Education Reputable Websites for Patient Education
A histologic slide showing the sponge-like architecture of a patient with Creutzfeldt-Jakob Disease. A histologic slide showing the sponge-like architecture of a patient with Creutzfeldt-Jakob Disease.
Video: Complement Proteins Animation

For a complete list of videos, visit our video library