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 60 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
YES! Correct, THANKS for helping me on my review

bitingbit

  • Member
  • Posts: 323
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

Vaccines cause herd immunity. If the majority of people in a community have been vaccinated against a disease, an unvaccinated person is less likely to get the disease since others are less likely to become sick from it and spread the disease.

Did you know?

Women are 50% to 75% more likely than men to experience an adverse drug reaction.

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 Food and Drug Administration has approved Risperdal, an adult antipsychotic drug, for the symptomatic treatment of irritability in children and adolescents with autism. The approval is the first for the use of a drug to treat behaviors associated with autism in children. These behaviors are included under the general heading of irritability and include aggression, deliberate self-injury, and temper tantrums.

Taking a Patient’s Axillary Temperature Taking a Patient’s Axillary Temperature
Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u
Teaching an illterate patient Teaching an illterate patient
Patient education Patient education
The reminder card should be completed and handed to the patient after the appointment is scheduled. The reminder card should be completed and handed to the patient after the appointment is scheduled.
Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ... Amniocentesis. The patient is examined with ultrasound to determine the placental site and to locate ...
Video: Bone elongation - processes at the epiphyseal plate

For a complete list of videos, visit our video library