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

Author Question: A patient has been taking trimethoprim-sulfamethoxazole (TMP/SMX) for 14 days. The patient calls the ... (Read 18 times)

Redwolflake15

  • Hero Member
  • *****
  • Posts: 569
on: Jul 24, 2018
A patient has been taking trimethoprim-sulfamethoxazole (TMP/SMX) for 14 days. The patient calls the primary care nurse practitioner (NP) to report fever, rash, and enlarged lymph nodes. The NP should suspect:
 
  a. serum sickness reaction.
  b. immediate sensitivity reaction.
  c. cytotoxic hypersensitivity reaction.
  d. cell-mediated hypersensitivity reaction.

Question 2

A patient tells the primary care NP about having difficulty giving presentations at work. The patient experiences anxiety and often feels faint or vomits. The NP should:
 
  a. prescribe buspirone.
  b. prescribe alprazolam.
  c. order a selective serotonin reuptake inhibitor (SSRI) antidepressant.
  d. recommend cognitive-behavioral therapy.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

karmakat49

  • Sr. Member
  • ****
  • Posts: 369
Reply #1 on: Jul 24, 2018
Answer to Question 1

A
Serum sickness reaction can occur days to weeks after administration of the drug and is characterized by fever, rash, and lymphadenopathy. Immediate sensitivity reaction includes anaphylaxis, urticaria, and angioedema and occurs within 30 minutes of drug administration. Cytotoxic hypersensitivity reaction causes hemolytic anemia, neutropenia, and thrombocytopenia and develops 7 to 14 days after drug administration. Cell-mediated hypersensitivity reaction causes maculopapular rash, Stevens-Johnson syndrome, and toxic epidermal necrolysis and takes 48 to 72 hours to develop.

Answer to Question 2

D
The patient is describing a phobic disorder. Cognitive-behavioral therapy is recommended as first-line treatment, with SSRI medications as adjunct therapy.


Redwolflake15

  • Member
  • Posts: 569
Reply 2 on: Jul 24, 2018
Gracias!

cassie_ragen

  • Member
  • Posts: 347
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

In Eastern Europe and Russia, interferon is administered intranasally in varied doses for the common cold and influenza. It is claimed that this treatment can lower the risk of infection by as much as 60–70%.

Did you know?

The average person is easily confused by the terms pharmaceutics and pharmacology, thinking they are one and the same. Whereas pharmaceutics is the science of preparing and dispensing drugs (otherwise known as the science of pharmacy), pharmacology is the study of medications.

Did you know?

It is believed that the Incas used anesthesia. Evidence supports the theory that shamans chewed cocoa leaves and drilled holes into the heads of patients (letting evil spirits escape), spitting into the wounds they made. The mixture of cocaine, saliva, and resin numbed the site enough to allow hours of drilling.

Did you know?

The average adult has about 21 square feet of skin.

Taking off is one of the main times albatrosses use flapping to fly, and is the most energetically d Taking off is one of the main times albatrosses use flapping to fly, and is the most energetically d
Nurse-patient interaction; nonveral communication Nurse-patient interaction; nonveral communication
Mammography. (a) A health-care professional assists the patient to ensure the breast is placed ideal Mammography. (a) A health-care professional assists the patient to ensure the breast is placed ideal
Pigmented bands in nail of patient with dark skin Pigmented bands in nail of patient with dark skin
Preparing the Patient’s Skin for Surgical Procedures Preparing the Patient’s Skin for Surgical Procedures
Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum. Colorimetric multiplex assay to determine anti-HLA antibodies in a patient's serum.
Video: Covalent bonds - role in the body

For a complete list of videos, visit our video library