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

Author Question: A patient has received an initial dose of glatiramer acetate (Copaxone) for relapsing-remitting ... (Read 58 times)

Yolanda

  • Hero Member
  • *****
  • Posts: 757
on: Jul 23, 2018
A patient has received an initial dose of glatiramer acetate (Copaxone) for relapsing-remitting multiple sclerosis. The nurse notes that the patient appears flushed and anxious and has urticaria.
 
  The patient reports palpitations, chest pain, and a feeling of laryngeal constriction. What will the nurse do?
  a. Obtain an order for epinephrine to treat a hypersensitivity reaction.
  b. Prepare to provide cardiorespiratory support.
  c. Report a possible cardiotoxic episode to the provider.
  d. Stay with the patient until this self-limiting episode passes.

Question 2

A nurse is caring for an older adult patient who has Alzheimer's disease. The patient is taking a cholinesterase inhibitor drug. Which side effects would concern the nurse?
 
  a. Confusion and memory impairment
  b. Dizziness and headache
  c. Nausea, vomiting, and diarrhea
  d. Slowed heart rate and lightheadedness


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

olivia_paige29

  • Sr. Member
  • ****
  • Posts: 334
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: D
About 10 of patients taking glatiramer acetate experience a self-limited postinjection reaction characterized by flushing, palpitations, severe chest pain, anxiety, laryngeal constriction, and urticaria; the episode usually lasts 15 to 20 minutes. No treatment is required, but the nurse should stay with the patient to help alleviate anxiety associated with this reaction. Epinephrine is not indicated. Cardiorespiratory support is not necessary. This does not represent a cardiotoxic reaction.

Answer to Question 2

ANS: D
Cardiovascular effects of cholinesterase inhibitor drugs are uncommon but cause the most concern. Bradycardia and fainting can occur when cholinergic receptors in the heart are activated. Confusion and memory impairment are signs of the disease and are not side effects of the drug. Dizziness, headache, nausea, vomiting, and diarrhea are all expected adverse effects, and although uncomfortable, they do not present an increased risk to the patient.


Yolanda

  • Member
  • Posts: 757
Reply 2 on: Jul 23, 2018
Gracias!

kalskdjl1212

  • Member
  • Posts: 353
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

More than 20 million Americans cite use of marijuana within the past 30 days, according to the National Survey on Drug Use and Health (NSDUH). More than 8 million admit to using it almost every day.

Did you know?

Common abbreviations that cause medication errors include U (unit), mg (milligram), QD (every day), SC (subcutaneous), TIW (three times per week), D/C (discharge or discontinue), HS (at bedtime or "hours of sleep"), cc (cubic centimeters), and AU (each ear).

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?

About 3.2 billion people, nearly half the world population, are at risk for malaria. In 2015, there are about 214 million malaria cases and an estimated 438,000 malaria deaths.

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

(A) A 62-year-old patient with myxedema exhibiting marked edema of the face and a somnolent look. Th (A) A 62-year-old patient with myxedema exhibiting marked edema of the face and a somnolent look. Th
Hemodialysis. The process of hemodialysis replaces the kidney function of blood filtration by forcin Hemodialysis. The process of hemodialysis replaces the kidney function of blood filtration by forcin
Patient Teaching Patient Teaching
Deliver abdominal thrusts to the supine unconscious patient. Deliver abdominal thrusts to the supine unconscious patient.
Anatomy of the heart. Remember: It is labeled right and left based on the patient’s perspective. Anatomy of the heart. Remember: It is labeled right and left based on the patient’s perspective.
A Mono-Diff test in which the presumptive well contains the patient's serum mixed with ... A Mono-Diff test in which the presumptive well contains the patient's serum mixed with ...
Video: Multiple Sclerosis Animation

For a complete list of videos, visit our video library