A 72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96. She is currently complaining of pain on her right hip and on both knees. She has increased her dose of ibuprofen (Motrin) from 400 mg 3 times day (TID) to 800 mg TID. She is still in pain and would like something stronger. Which of the following statements is the best explanation of the effects of ibuprofen (Motrin) on her disease?
A) It increases the chances of adverse effects to her health B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic C) It prolongs the therapeutic effects of hydrochlorothiazide and other diuretics D) None of the statements are true -CORRECT ANSWER-B) It inhibits the effect of renal prostaglandins and blunts the effectiveness of the diuretic.
NSAIDs and ASA inhibit the vasodilatory effects of prostaglandins, which predisposes the kidney to ischemia. NSAIDs and diuretics can cause acute prerenal failure by decreasing renal blood flow.
2. All of the following are infections that affect mostly the labia and vagina except:
A) Bacterialvaginosis B) Candidiasis C) Trichomoniasis D) Chlamydia trachomatis -CORRECT ANSWER-D) Chlamydia trachomatis
72-year-old woman has been on hydrochlorothiazide 12.5 mg for many years to control her Stage II hypertension. Her blood pressure (BP) at this visit is 168/96. She is currently complaining of pain on her right hip and on both knees. She has increased her dose...
Chamberlain College Of Nursing / NURSING /A common side effect of thiazide diuretics is: - ANSWER--erectile dysfunction Mrs. Brandy is having contrast dye nest week for a heart catheterization. What drug does NOT need to be stopped prior to her catheterization? - ANSWER--Losartan Pharmacologic t...
Chamberlain College Of Nursing / NURSING /Which of these instructions should a nurse include in the teaching plan for a client who had removal of a cataract in the left eye? a. "Forcefully cough and take deep breaths every two hours to keep your airway clear." b. "Perform the prescri...
Chamberlain College Of Nursing / NURSING /estational diabetes screening occurs between what weeks gestation? - ANSWER--24-48 When you ask the patient to take a deep breath in and then palpate over the RUQ abdomen. Positive when pain is elicited. This is a sign of ___________. - ANSWER--Murphy's sig...
Chamberlain College Of Nursing / NURSING /Which of these instructions should a nurse include in the teaching plan for a client who had removal of a cataract in the left eye? a. "Forcefully cough and take deep breaths every two hours to keep your airway clear." b. "Perform the prescribed eye exercis...
Chamberlain College Of Nursing / NURSING /
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