Author Question: A nurse determines the understanding of instructions regarding treatment with cholestyramine when ... (Read 46 times)

ashley · **on:** Jul 23, 2018

A nurse determines the understanding of instructions regarding treatment with cholestyramine when the patient states:

a. I will take cholestyramine 1 hour before my other medications.
b. I will increase fluids and fiber in my diet.
c. I will weigh myself weekly.
d. I will have my blood pressure checked weekly.

Question 2

A patient who comes to the emergency department is anxious, short of breath, diaphoretic, and has a history of heart disease. The patient states that the doctor instructed him to chew an aspirin on the way to the emergency department.

The nurse understands that the rationale for this in-struction is that aspirin a. suppresses platelet aggregation, producing an immediate antithrombotic effect.
b. acts as an immediate analgesic.
c. augments the effects of morphine.
d. has vasodilatory properties that can improve perfusion of the heart.

ktidd · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

b

Answer to Question 2

A
Aspirin suppresses platelet aggregation and produces an immediate antithrombotic effect, which is necessary for a patient who may be experiencing a myocardial infarction (MI). Although the patient is not experiencing chest pain, other, associated symptoms, as well as the history, could lead to suspicion of MI.
Aspirin does have analgesic properties. However, the question asks about the action of aspirin regarding the anginal equivalent (shortness of breath) and cardiac history. Aspirin is not going to decrease the shortness of breath but rather will assist with the antithrombotic effect.
Aspirin does not potentiate the effects of morphine. In addition, the patient has not received any morphine.
Aspirin has no vasodilatory properties.