« previous next »

Author Question: The nurse notes all of the following changes in the last week in a 72-year-old nursing home patient ... (Read 62 times)

magmichele12

  • Hero Member
  • *****
  • Posts: 559
on: Jul 23, 2018
The nurse notes all of the following changes in the last week in a 72-year-old nursing home patient taking nortriptyline (Pamelor) for chronic pain. For which problem does the nurse imme-diately notify the prescriber?
 
  a. Heart rate decreased from 80 to 72 beats per minute
  b. Respiratory rate decreased from 20 to 16 breaths per minute
  c. Weight increased from 128 to 137 pounds
  d. Morning blood glucose increased from 86 to 94 mg/dL

Question 2

Which statement by a patient who has been prescribed an antilipidemic drug indicates to the nurse the need for additional teaching?
 
  a. Once my lipid profile levels are normal, I will no longer need to take the drug.
  b. Taking this drug will decrease my risk for having a heart attack.
  c. My goal is to increase my HDL cholesterol and decrease my LDL cholesterol.
  d. I will continue walking and watching the fat in my diet while I'm taking this drug.


pami445

  • Sr. Member
  • ****
  • Posts: 303
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Nortriptyline is an antidepressant. These drugs can make heat failure worse and can cause urinary retention. Fluid retention with weight gain is a symptom of worsening heart failure. A weight gain of 9 pounds in a week is significant and an indicator of rapidly worsening heart failure.

Answer to Question 2

A
All lipid-lowering drugs reduce high blood lipid levels, but they do not cure the problem. Treat-ment is long term, and these drugs need to be taken even after blood fat levels are normal.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

magmichele12

  • Hero Member
  • *****
  • Posts: 559
Reply #2 on: Jul 23, 2018
Thanks


pami445

  • Sr. Member
  • ****
  • Posts: 303
Reply #3 on: Jul 23, 2018
Welcome :)


« previous next »
 

Did you know?

Walt Disney helped combat malaria by making an animated film in 1943 called The Winged Scourge. This short film starred the seven dwarfs and taught children that mosquitos transmit malaria, which is a very bad disease. It advocated the killing of mosquitos to stop the disease.

Did you know?

As the western states of America were settled, pioneers often had to drink rancid water from ponds and other sources. This often resulted in chronic diarrhea, causing many cases of dehydration and death that could have been avoided if clean water had been available.

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?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

Did you know?

Thyroid conditions may make getting pregnant impossible.

This young boy with muscular dystrophy needs to receive tube feedings and home nursing care. He atte This young boy with muscular dystrophy needs to receive tube feedings and home nursing care. He atte
Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As Cystostomy. An artificial opening is made through the urinary bladder wall during this procedure. As
On May 15, 1916, after deliberating for one hour, an all-white jury in Waco, Texas, found seventeen- On May 15, 1916, after deliberating for one hour, an all-white jury in Waco, Texas, found seventeen-
In the past year, about one in five adults in the United States reported symptoms of anxiety ... In the past year, about one in five adults in the United States reported symptoms of anxiety ...
Patient Education Follow-up Plan Patient Education Follow-up Plan
Apply direct pressure to the patient’s wound. Apply direct pressure to the patient’s wound.
Video: What Are Carbohydrates? Importance of Carbs & High Carb Food

For a complete list of videos, visit our video library