NUR2407 Module 08 Written Assignment 2021

Module 08 Content

Please answer the following questions—Chapter 35 and Chapter 37 questions are related to the case study provided. You do not need to use APA formatting on the document you submit, but please use complete sentences when answering the questions and provide APA formatted references. If you do not include references, you will not receive full credit for this assignment.

Chapter 35

G.H., a 35-year-old patient, has allergic rhinitis. Her prescriptions include loratadine 5 mg/day and fluticasone, two nasal inhalations per day. Previously, she had taken OTC drugs and asked if she should continue to take the OTC drug with her prescriptions. She has never used a nasal inhaler before. Please answer the following 5 questions:

1. What additional information is needed from G.H. concerning her health problem?

2. What is your response to G.H. concerning the use of OTC drugs with her prescription drugs?

3. How would you instruct G.H. to use a nasal inhaler? Explain your answer.

4. What are the similarities and differences between loratadine and diphenhydramine? Could one of these antihistamines be more effective than the other? Explain your answer.

5. What could you suggest to decrease allergens such as dust mites in the home?

Chapter 36

What type of drug is aminophylline? Why should the nurse ask a patient if they smoke?

Can cromolyn sodium be substituted for prednisone during an asthmatic attack? Explain your answer.

Chapter 37

S.T., a 64-year-old patient, has HF controlled with digoxin, furosemide, and a low-sodium diet. She is taking potassium chloride (KCl) 20 mEq per day orally. Three days ago, ST had flulike symptoms that included anorexia, nausea, lethargy, and diarrhea. Her fluid and food intake was diminished, and she refused to take the KCl, stating that the drug makes her sick. She has been taking the digoxin and furosemide daily.

The nurse’s assessment during the home visit includes poor skin turgor, poor muscle tone, irregular pulse rate, and decreased bowel sounds. The nurse obtained a blood sample for serum electrolytes, and results indicated potassium (K) 2.9 mEq/L, sodium (Na) 137 mEq/L, and chloride (Cl) 96 mEq/L.

Match S.T.’s physical findings with the corresponding electrolyte imbalance.

What are the reasons for the electrolyte imbalance?

What is the effect of furosemide on digoxin when there is a potassium deficit? Explain your answer.

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