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Author Question: Why would the nurse expect the patient with liver disease to receive a smaller dose of ... (Read 114 times)

mynx

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on: Jul 23, 2018
Why would the nurse expect the patient with liver disease to receive a smaller dose of benzodiazepines?
 
  A) Excretion of the drug relies on liver function.
  B) The drugs are metabolized extensively in the liver.
  C) They are lipid soluble and well distributed throughout the body.
  D) The drugs are well absorbed from the gastrointestinal tract.

Question 2

The nurse is planning discharge teaching for a patient who is taking clonidine (Catapres). What would be most important for the nurse to include when teaching about adverse effects?
 
  A) Pupil constriction
  B) Strange dreams
  C) Increased urine output
  D) Increased appetite


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xiazhe

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

B
Feedback:
The benzodiazepines are metabolized extensively in the liver. Patients with liver disease must receive a smaller dose and be monitored closely. Excretion is primarily through the urine. All of the answer options are true, but only the fact that the benzodiazepines are metabolized in the liver explains why a patient with liver disease would require smaller dosages.

Answer to Question 2

B
Feedback:
Central nervous system effects from clonidine therapy include feelings of anxiety, restlessness, depression, fatigue, strange dreams, and personality changes. However, bad dreams would be the most upsetting and stressful effect for the patient. Pupil dilation, decreased urine output, and anorexia are all adverse effects of clonidine.


mynx

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Reply #2 on: Jul 23, 2018
TY


xiazhe

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Reply #3 on: Jul 23, 2018
You're welcome


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