This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient with arthritis asks a nurse which nonsteroidal anti-inflammatory medication is best to ... (Read 19 times)

Yolanda

  • Hero Member
  • *****
  • Posts: 757
on: Jul 23, 2018
A patient with arthritis asks a nurse which nonsteroidal anti-inflammatory medication is best to take. The nurse learns that this patient has a family history of cardiovascular disease. The nurse will recommend which NSAID?
 
  a. Celecoxib (Celebrex)
  b. Diclofenac (Voltaren)
  c. Ketorolac intranasal (Sprix)
  d. Naproxen (Aleve)

Question 2

An older male patient with an increased risk of MI is taking furosemide (Lasix) and low-dose aspirin. The patient is admitted to the hospital, and the nurse notes an initial blood pressure of 140/80 mm Hg.
 
  The patient has had a 10-pound weight gain since a previous admission 3 months earlier. The patient has voided only a small amount of concentrated urine. The serum creatinine and blood urea nitrogen (BUN) levels are elevated. The nurse will contact the provider to discuss:
  a. adding an antihypertensive medication.
  b. obtaining serum electrolytes.
  c. ordering a potassium-sparing diuretic.
  d. withdrawing the aspirin.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

peter

  • Sr. Member
  • ****
  • Posts: 330
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Naproxen is COX-1 selective, and the risk of MI and stroke appear lower with this drug than with other NSAIDs. Celecoxib is a COX-2 inhibitor and has increased risks of cardiovascular effects. Cardiovascular risks appear to be increased with diclofenac. Ketorolac carries the same risk as other NSAIDs, even with intranasal dosing.

Answer to Question 2

ANS: D
This patient shows signs of renal impairment, as evidenced by weight gain despite the use of diuretics, decreased urine output, hypertension, and elevated serum creatinine and BUN. ASA can cause acute, reversible renal impairment and should be withdrawn. Hypertensive medications do not treat the underlying cause. Serum electrolytes are not indicated. Addition of a potassium-sparing diuretic is not indicated.


Yolanda

  • Member
  • Posts: 757
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

ryhom

  • Member
  • Posts: 366
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

The training of an anesthesiologist typically requires four years of college, 4 years of medical school, 1 year of internship, and 3 years of residency.

Did you know?

The first documented use of surgical anesthesia in the United States was in Connecticut in 1844.

Did you know?

According to research, pregnant women tend to eat more if carrying a baby boy. Male fetuses may secrete a chemical that stimulates their mothers to step up her energy intake.

Did you know?

Approximately one in four people diagnosed with diabetes will develop foot problems. Of these, about one-third will require lower extremity amputation.

Did you know?

After 5 years of being diagnosed with rheumatoid arthritis, one every three patients will no longer be able to work.

Patient with rheumatoid arthritis Patient with rheumatoid arthritis
The proportion of men and women with elevated blood pressure or taking hypertension medication incre The proportion of men and women with elevated blood pressure or taking hypertension medication incre
A therapist assisting an amputee patient to regain mobility and strength after amputation. A therapist assisting an amputee patient to regain mobility and strength after amputation.
Classification of Anti-Infective Drugs Classification of Anti-Infective Drugs
Tumor marker analysis of a patient undergoing therapy, who (1) after surgery had residual disease ... Tumor marker analysis of a patient undergoing therapy, who (1) after surgery had residual disease ...
Severe arthritis can make everyday activities, like writing, typing, and handling objects Severe arthritis can make everyday activities, like writing, typing, and handling objects
Video: Lipid catabolism - lipolysis and beta oxidation and oxidation of fatty acids

For a complete list of videos, visit our video library