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Author Question: The nurse is providing health teaching to a patient who is taking methenamine (Hiprex). What ... (Read 43 times)

tiara099

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on: Jul 23, 2018
The nurse is providing health teaching to a patient who is taking methenamine (Hiprex). What instruction would be most important to include for the patient taking Hiprex?
 
  A) Drink citrus juice with the medication to acidify the urine.
  B) Take sodium bicarbonate with the medication to make the urine alkaline.
  C) Limit your fluid intake to 8 ounce per day.
  D) While you are taking this drug, limit your intake of foods high in sodium.

Question 2

A patient is brought to the emergency department in the midst of an active clonictonic seizure. What is the most appropriate antiseizure drug for the nurse to administer intravenously to terminate acute convulsive seizures?
 
  A) Diazepam (Valium)
  B) Phenytoin (Dilantin)
  C) Ethosuximide (Zarontin)
  D) Gabapentin (Neurontin)


hramirez205

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

A
Feedback:
Urinary tract anti-infectives act specifically within the urinary tract to destroy bacteria, either through a direct antibiotic effect or through acidification of the urine. Therefore, the nurse would not instruct the patient to take sodium bicarbonate, limit fluid intake, or limit their intake of foods high in sodium.

Answer to Question 2

A
Feedback:
The drug of choice for acute seizures is intravenous benzodiazepine, usually diazepam. Phenytoin is administered to control and prevent seizures but is not the drug of choice to stop an active seizure. Gabapentin and ethosuximide are administered for partial seizures.


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