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

Author Question: A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold ... (Read 83 times)

ss2343

  • Hero Member
  • *****
  • Posts: 548
on: Jul 23, 2018
A patient who has narrow-angle glaucoma asks the nurse to recommend a medication to alleviate cold symptoms such as nasal congestion and runny nose. The nurse will suggest the patient talk to the provider about which medication?
 
  a. Azelastine (Astelin)
  b. Cetirizine (Zyrtec)
  c. Chlorpheniramine maleate (Chlor-Trimeton)
  d. Diphenhydramine (Benadryl)

Question 2

The nurse is preparing to administer interleukin-2 to a patient who has cancer. The patient reports shortness of breath.
 
  The nurse assesses clear breath sounds, a respiratory rate of 22 breaths per minute, a heart rate of 80 beats per minute, an oxygen saturation of 93 on room air, and a blood pressure of 92/68 mm Hg. The nurse will perform which action?
  a. Administer the dose as ordered.
  b. Administer oxygen while giving the dose.
  c. Discuss permanently discontinuing this treatment with the provider.
  d. Hold the dose and notify the provider.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

kbennett34

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: A
Antihistamines have anticholinergic effects, which are contraindicated in patients with narrow-angle glaucoma. Cetirizine and azelastin are second-generation antihistamines, with fewer anticholinergic side effects, but azelastine is a nasal spray and is less likely to have systemic side effects.

Answer to Question 2

ANS: D
Because of pulmonary symptoms associated with interleukin-2, the drug should be held if the patient has an oxygen saturation <94 on room air. It may be given when the patient's oxygen saturation improves. The drug does not need to be permanently discontinued.


ss2343

  • Hero Member
  • *****
  • Posts: 548
Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


kbennett34

  • Sr. Member
  • ****
  • Posts: 333
Reply #3 on: Jul 23, 2018
Great! Please up vote :D


« previous next »
 

Did you know?

Vital signs (blood pressure, temperature, pulse rate, respiration rate) should be taken before any drug administration. Patients should be informed not to use tobacco or caffeine at least 30 minutes before their appointment.

Did you know?

Increased intake of vitamin D has been shown to reduce fractures up to 25% in older people.

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

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?

Throughout history, plants containing cardiac steroids have been used as heart drugs and as poisons (e.g., in arrows used in combat), emetics, and diuretics.

Patient with typical rheumatoid arthritis contractures. Patient with typical rheumatoid arthritis contractures.
Position of patient to assess jugular vein distention Position of patient to assess jugular vein distention
Each patient is greeted by the receptionist. Each patient is greeted by the receptionist.
Comparing Signs and Symptoms of Cold, Allergy, and the Flu Comparing Signs and Symptoms of Cold, Allergy, and the Flu
Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ... Edentulous patient with pieces of bone that became necrotic and continued to slough off after tooth ...
Ex vivo and in vivo gene therapy for a patient with a liver disorder Ex vivo and in vivo gene therapy for a patient with a liver disorder
Video: Ultrasound of a Fetus (Sonogram)

For a complete list of videos, visit our video library