Author Question: A patient is experiencing diarrhea and being treated with diphenoxylate (Lomotil). The presence of ... (Read 93 times)

dejastew · **on:** Jul 23, 2018

A patient is experiencing diarrhea and being treated with diphenoxylate (Lomotil). The presence of which condition requires that diphenoxylate (Lomotil) be administered cautiously?

A) Edema
B) Hepatorenal disease
C) Congestive heart failure
D) Cardiovascular insufficiency

Question 2

A patient with a long-standing history of asthma has failed to achieve adequate symptom control with first-line drugs. As a result, her care provider has prescribed theophylline.

The nurse is aware of the narrow therapeutic range of this drug and has taught the patient to recognize the signs and symptoms of toxicity. These include which of the following? A) Polyuria and polyphagia
B) Confusion and decreased level of consciousness
C) Agitation and dysrhythmias
D) Chest pain and shortness of breath

heinisk01 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Feedback:
Diphenoxylate should be used with extreme caution in patients with severe hepatorenal disease because hepatic coma may be precipitated. Edema, congestive heart failure, and cardiovascular insufficiency are not conditions in which cautious administration with diphenoxylate is needed.

Answer to Question 2

C
Feedback:
Signs and symptoms of theophylline overdose include anorexia, nausea, vomiting, agitation, nervousness, insomnia, tachycardia and other dysrhythmias, and tonicclonic convulsions. Ventricular dysrhythmias or convulsions may be the first sign of toxicity. Chest pain, shortness of breath, polyuria, polyphagia, and decreased level of consciousness do not accompany theophylline overdose.