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 67 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
Great answer, keep it coming :)

kjohnson

  • Member
  • Posts: 330
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

More than 34,000 trademarked medication names and more than 10,000 generic medication names are in use in the United States.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up Electroencephalography (EEG). To perform the EEG, electrodes attached to the patient’s head pick up
A nurse communicates with her non–English-speaking patient through an interpreter A nurse communicates with her non–English-speaking patient through an interpreter
Positioning the Patient in the Supine Position Positioning the Patient in the Supine Position
Kaposi's sarcoma on the skin of an AIDS patient. Kaposi's sarcoma on the skin of an AIDS patient.
Ceiling effect of aspirin. A plateau is reached where increasing the dose of aspirin will not create ... Ceiling effect of aspirin. A plateau is reached where increasing the dose of aspirin will not create ...
J or U dose-response curve J or U dose-response curve
Video: First Stage of Labor and Delivery Video

For a complete list of videos, visit our video library