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Author Question: A patient will undergo a colonoscopy, and the provider has ordered sodium phosphate as a bowel ... (Read 107 times)

CBme

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on: Jul 23, 2018
A patient will undergo a colonoscopy, and the provider has ordered sodium phosphate as a bowel cleanser before the procedure.
 
  The nurse reviews the patient's chart and notes that the patient's creatinine clearance and blood urea nitrogen are both elevated. What will the nurse do? a. Reduce the amount of fluid given with the laxative to prevent fluid retention.
  b. Request an order to give polyethylene glycol and electrolytes (PEG-ELS) in-stead.
  c. Suggest that the patient reduce the dietary sodium intake.
  d. Suggest using a suppository laxative in-stead.

Question 2

A patient with hypertension has a previous history of opioid dependence. Which medication would the nurse question?
 
  a. Clonidine Catapres
  b. Guanabenz Wytensin
  c. Methyldopa
  d. Reserpine Serpasil


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Brummell1998

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
PEG-ELS solutions provide an isosmotic solution and do not cause dehydration or electrolyte imbalance. They are safe to use in patients with renal impairment or cardiovascular disease. This patient's laboratory values suggest renal impairment. Sodium phosphate products can cause kid-ney damage; giving them with less fluid only increases this possibility. Reducing the dietary in-take of sodium is not recommended. Suppositories are not effective bowel cleansing agents.

Answer to Question 2

A
Patients who abuse cocaine, opioids, and other such drugs also frequently abuse clonidine, so this agent would not be the best choice for this patient. The other drugs do not share this abuse potential.


CBme

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Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

ktidd

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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