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

Author Question: A patient is admitted with acute, painful muscle spasms and suffers from intermittent porphyria, an ... (Read 65 times)

joe

  • Hero Member
  • *****
  • Posts: 627
on: Jul 23, 2018
A patient is admitted with acute, painful muscle spasms and suffers from intermittent porphyria, an inherited enzyme deficiency. Which of the following muscle relaxants is contraindicated due to the patient's history of porphyria?
 
  A) Baclofen (Lioresal)
  B) Carisoprodol (Soma)
  C) Diazepam (Valium)
  D) Dantrolene (Dantrium)

Question 2

A patient's sudden increase in IOP has necessitated the oral administration of glycerin (Osmoglyn). When assessing the patient for adverse effects related to this intervention, the nurse should prioritize which of the following?
 
  A) Assessment for signs and symptoms of acidbase imbalances
  B) Assessment for signs and symptoms of fluid volume deficit
  C) Monitoring of serum potassium and sodium levels
  D) Monitoring of aPTT and INR


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

shayla

  • Sr. Member
  • ****
  • Posts: 323
Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Feedback:
Carisoprodol is used to relieve discomfort from acute, painful musculoskeletal disorders. It is contraindicated in patients with intermittent porphyria. Baclofen is not known to be contraindicated with porphyria. Diazepam is not known to be contraindicated with porphyria. Dantrolene is not known to be contraindicated with porphyria.

Answer to Question 2

B
Feedback:
Adverse effects of glycerin relate to decreased fluid volume. The most serious of these conditions is hyperosmolar nonketotic coma. Consequently, the nurse should prioritize assessments that are focused on the signs and symptoms of fluid volume deficit.


joe

  • Member
  • Posts: 627
Reply 2 on: Jul 23, 2018
Great answer, keep it coming :)

Viet Thy

  • Member
  • Posts: 329
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

More than nineteen million Americans carry the factor V gene that causes blood clots, pulmonary embolism, and heart disease.

Did you know?

As many as 28% of hospitalized patients requiring mechanical ventilators to help them breathe (for more than 48 hours) will develop ventilator-associated pneumonia. Current therapy involves intravenous antibiotics, but new antibiotics that can be inhaled (and more directly treat the infection) are being developed.

Did you know?

For about 100 years, scientists thought that peptic ulcers were caused by stress, spicy food, and alcohol. Later, researchers added stomach acid to the list of causes and began treating ulcers with antacids. Now it is known that peptic ulcers are predominantly caused by Helicobacter pylori, a spiral-shaped bacterium that normally exist in the stomach.

Taking a Patient’s Axillary Temperature Taking a Patient’s Axillary Temperature
Measuring Patient Height Measuring Patient Height
Patient teaching: abdominal assessment Patient teaching: abdominal assessment
Instruct the patient to use an applicator to apply a small amount of stool in the appropriate boxes ... Instruct the patient to use an applicator to apply a small amount of stool in the appropriate boxes ...
A patient undergoing hemodialysis. A patient undergoing hemodialysis.
Extraocular muscle abnormalities Extraocular muscle abnormalities
Video: Lipid digestion - mouth, stomach and small intestine

For a complete list of videos, visit our video library