« previous next »

Author Question: The patient receives reteplase (Retavase) intravenously (IV). The nurse assesses the patient for ... (Read 31 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?

Urine turns bright yellow if larger than normal amounts of certain substances are consumed; one of these substances is asparagus.

Did you know?

Children with strabismus (crossed eyes) can be treated. They are not able to outgrow this condition on their own, but with help, it can be more easily corrected at a younger age. It is important for infants to have eye examinations as early as possible in their development and then another at age 2 years.

Did you know?

When blood is deoxygenated and flowing back to the heart through the veins, it is dark reddish-blue in color. Blood in the arteries that is oxygenated and flowing out to the body is bright red. Whereas arterial blood comes out in spurts, venous blood flows.

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

The average adult has about 21 square feet of skin.

Measuring Patient Height Measuring Patient Height
Patient teaching: health promotion to prevent osteroporosis in women Patient teaching: health promotion to prevent osteroporosis in women
Pure Alexia in a Patient with Multiple Sclerosis Pure Alexia in a Patient with Multiple Sclerosis
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
Examples of endocrine disorders. (B) A patient with a goiter. Examples of endocrine disorders. (B) A patient with a goiter.
Video: Sigmoidoscopy

For a complete list of videos, visit our video library