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

Author Question: A patient is taking digoxin Lanoxin and develops a dysrhythmia. The nurse reports this finding to ... (Read 92 times)

jparksx

  • Hero Member
  • *****
  • Posts: 570
on: Jul 23, 2018
A patient is taking digoxin Lanoxin and develops a dysrhythmia. The nurse reports this finding to the prescriber, who will most likely order what? (Select all that apply.)
 
  a. Amiodarone
  b. Diltiazem
  c. Phenytoin Dilantin
  d. Quinidine
  e. Serum electrolytes

Question 2

A patient with a liver transplant has been receiving cyclosporine Sandimmune for 6 months. The nurse reviews this patient's laboratory results and notes a sharp increase in the blood urea nitrogen (BUN) and serum creatinine.
 
  Vital signs are normal, and the patient reports no discom-fort. What does the nurse suspect? a. Hepatotoxicity
  b. Infection
  c. Organ rejection
  d. Nephrotoxicity


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Missbam101

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jul 23, 2018
Answer to Question 1

C, E
Phenytoin is an antiseizure medication used to treat digoxin-induced dysrhythmias. Because di-goxin-induced dysrhythmias can be caused by hypokalemia, it is appropriate to evaluate the se-rum electrolyte levels. Amiodarone, diltiazem, and quinidine increase digoxin levels.

Answer to Question 2

D
An elevation of BUN and serum creatinine is an indication of nephrotoxicity, which occurs in 75 of patients taking cyclosporine. Hepatotoxicity would cause elevations in liver enzymes, not the BUN and creatinine. Infection would be associated with fever. Organ rejection of a renal transplant would cause elevation in the BUN and creatinine but also would cause tenderness at the graft site and fever.


jparksx

  • Member
  • Posts: 570
Reply 2 on: Jul 23, 2018
:D TYSM

ryansturges

  • Member
  • Posts: 338
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

The first monoclonal antibodies were made exclusively from mouse cells. Some are now fully human, which means they are likely to be safer and may be more effective than older monoclonal antibodies.

Did you know?

To prove that stomach ulcers were caused by bacteria and not by stress, a researcher consumed an entire laboratory beaker full of bacterial culture. After this, he did indeed develop stomach ulcers, and won the Nobel Prize for his discovery.

Did you know?

More than 4.4billion prescriptions were dispensed within the United States in 2016.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

The patient interview often requires note taking. The patient interview often requires note taking.
Proper placement and monitoring of an automatic blood pressure cuff will reduce the risk of injury o Proper placement and monitoring of an automatic blood pressure cuff will reduce the risk of injury o
PET Scans of a Patient with Parkinsonian Symptoms PET Scans of a Patient with Parkinsonian Symptoms
Patient with osteoarthritis. Patient with osteoarthritis.
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: Types of energy transfer reactions: oxidation-reduction reactions and ATP generation reactions

For a complete list of videos, visit our video library