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

Author Question: A nurse is administering multiple morning medications on a busy medical-surgical unit. Which ... (Read 72 times)

Alainaaa8

  • Hero Member
  • *****
  • Posts: 576
on: Jul 23, 2018
A nurse is administering multiple morning medications on a busy medical-surgical unit. Which drug-to-drug interaction should concern the nurse the most?
 
  a. Metoprolol (Lopressor) and insulin
  b. Enalapril (Vasotec) and insulin
  c. Atenolol (Tenormin) and spironolactone (Aldactone)
  d. Carvedilol (Coreg) and furosemide (Lasix)

Question 2

A 187-pound patient presents to the emergency department after a motor vehicle accident. The patient is confused, has a superficial cut on the head, a bruised abdomen, and a compound frac-ture of the right femur.
 
  The patient's vital signs are: P122/minute, R32/minute, BP100/51, and T99.0 F. Based on these findings, the nurse should prepare to administer which of the fol-lowing intravenous solutions? a. 0.9 NaCl
  b. D5W
  c. 3 NaCl
  d. D5NS


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Shshxj

  • Sr. Member
  • ****
  • Posts: 335
Reply #1 on: Jul 23, 2018
Answer to Question 1

A
Blockade of beta2 receptors in skeletal muscle and the liver can inhibit glycogenolysis. This effect can be dangerous for people with diabetes mellitus, because it can result in decreased blood glucose, which would be exacerbated by concurrent insulin administration with metoprolol.
Enalapril is not contraindicated with insulin; in fact, it may have a positive effect on renal func-tion, which often is affected by diabetes mellitus.
Atenolol and spironolactone are not contraindicated. A mild diuretic, such as spironolactone, typically is ordered with a beta blocker to prevent fluid overload.
Carvedilol and Lasix are not contraindicated. Diuretics often are ordered with beta blockers.

Answer to Question 2

A
Administration of an isotonic solution would be the correct action because of the expected loss in blood volume after the patient's accident and subsequent injuries.
D5W would be indicated for hypoglycemia.
3 NaCl would be indicated for hyponatremia.
D5NS would also be indicated if the patient had hypernatremia.


Alainaaa8

  • Member
  • Posts: 576
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

covalentbond

  • Member
  • Posts: 336
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

Did you know?

A serious new warning has been established for pregnant women against taking ACE inhibitors during pregnancy. In the study, the risk of major birth defects in children whose mothers took ACE inhibitors during the first trimester was nearly three times higher than in children whose mothers didn't take ACE inhibitors. Physicians can prescribe alternative medications for pregnant women who have symptoms of high blood pressure.

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?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

Alcohol acts as a diuretic. Eight ounces of water is needed to metabolize just 1 ounce of alcohol.

Nurse bees tending to brood in cells both open and capped with beeswax. Nurse bees tending to brood in cells both open and capped with beeswax.
Responsibilities of the nurse manager Responsibilities of the nurse manager
Controlled cold compression unit. Controlled cold compression unit.
The medical assistant escorts the patient into the examination room. The medical assistant escorts the patient into the examination room.
Commonly Misspelled Medical Terms Commonly Misspelled Medical Terms
Drug inhibition of folic acid metabolism. Drugs inhibit multiple steps in the metabolic pathway ... Drug inhibition of folic acid metabolism. Drugs inhibit multiple steps in the metabolic pathway ...
Video: Bone Healing Animation

For a complete list of videos, visit our video library