Answer to Question 1
ANS: A
CNS depression, evidenced in this patient by drowsiness, is common in about 35 of the population. These responses become less intense with continued drug use. Orthostatic hypotension is less likely with clonidine, because its antihypertensive effects are not posture dependent. The experience of drowsiness does not indicate abuse potential. The patient should not discontinue the medication abruptly because of the potential for rebound hypertension; the patient should contact the prescriber before stopping the medication.
Answer to Question 2
ANS: A
Reserpine can produce severe depression, which may persist for months during drug therapy and after the drug is withdrawn. Reserpine can stimulate the secretion of gastric acid, which can cause ulcers; it also can increase the tone and motility of intestinal smooth muscle, which can cause cramps and diarrhea. Reserpine can cause orthostatic hypotension, so patients should be counseled to rise slowly when standing up and to sit or lie down if they feel dizzy. Reserpine works by depleting norepinephrine, and the processes necessary for this may take 1 to 2 weeks.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
A nurse adjusts the rate of a client’s IV.
Pure Alexia in a Patient with Multiple Sclerosis
Example of a patient statement.
Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm.
Areas of sclerosis (see arrows) in the white matter of a patient with MS.