The nurse administers cimetidine to a 75-year-old client diagnosed with a Gastric ulcer the nurse should monitor the client for the following adverse reactions Headache, Sleepiness, Confusion, Dizziness, Nausea which contribute for the change in Metal status.
- Cimetidine is a H
Receptor Antagonist. - Gastric partial cells contains receptors for Histamine.
- Histamine is released from the Enterochromaffin cells upon the stimulation from food intake or from Vagus nerve stimulation.
- Thus Histamine released from Enterochromaffin cells binds to H receptors on the parietal cells and increases the secretion of HCl.
- Cimetidine has totally opposite effect and decreases the secretion of HCl from the parietal cells.
- Not only on gastric cells H receptors are also present in CNS where they stimulate brain cells.
- The above point justifies the adverse effects of Cimetidine.
- Patients over the age of 50 or those who are severely ill may experience transient confusion while taking H
blockers, particularly cimetidine.
Hence from these points we can conclude that patients who are above 50 years and receiving Cimetidine medication for gastric ulcer should be monitored for the above mentioned adverse reactions.
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the abnormalities the nurse can document during the otoscopic examination are immobility of the tympanic membrane and middle ear effusion.
<h3>What is otoscopy?</h3>
Otoscopy can be defined as a clinical procedure used in the examination of the structures of the ear, particularly the external auditory canal, tympanic membrane, and even the middle ear.
Clinicians carryout otoscopy during routine wellness physical exams and the evaluation of specific ear complaints
During the otoscopic examination, the clinician utilizes an otoscope, also to see through or to visualize the ear anatomy.
The abnormalities that can be documented include;
- Immobility of the tympanic membrane moves in response to pressure.
- The detection of middle ear effusion
Thus, the abnormalities the nurse can document during the otoscopic examination are immobility of the tympanic membrane and middle ear effusion.
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I would say it your views on it definitely matter and it doesn’t matter your race, gender, etc. it just matters how intelligent you are (I’m not sure if this helps? If it does tho mark brainliest?)
Answer:
Tess needs to have a C-section right away!!!! The baby is probably breached that is why she is having pain. Have her husband hold her hand and tell her to breathe and it is okay.
Explanation:
