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

Author Question: A patient comes to the clinic concerned about possible migraine headaches. The primary care NP ... (Read 74 times)

karen

  • Hero Member
  • *****
  • Posts: 537
on: Jul 24, 2018
A patient comes to the clinic concerned about possible migraine headaches.
 
  The primary care NP conducts a history and physical examination, and the patient describes vise-like pressure in the back of the head that occurs almost daily during the work week. The NP should recommend: a. acetaminophen.
  b. topiramate.
  c. sumatriptan.
  d. ergotamine.

Question 2

A patient has recently returned from travel in Central America and reports having seven to eight liquid stools each day with severe tenesmus. The primary care NP notes a temperature of 102 F.
 
  A stool specimen is Hemoccult positive with leukocytes present. The NP will: a. order tests for Clostridium difficile.
  b. prescribe tinidazole 2000 mg for 3 days.
  c. give 750 mg of ciprofloxacin one time only.
  d. order a stool culture and begin therapy with a fluoroquinolone.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

14vl19

  • Sr. Member
  • ****
  • Posts: 310
Reply #1 on: Jul 24, 2018
Answer to Question 1

A
This patient is describing symptoms typical of tension headaches. The NP should recommend acetaminophen, not migraine medications.

Answer to Question 2

D
By history, this patient likely has traveler's diarrhea. The NP should obtain a culture and should start a fluoroquinolones antibiotic empirically. C. difficile is suspected in patients who have been taking antibiotics, which is not true in this case. Tinidazole is used for amebiasis or giardiasis. Ciprofloxacin may be given as a single dose for mild traveler's diarrhea.


karen

  • Member
  • Posts: 537
Reply 2 on: Jul 24, 2018
Wow, this really help

tkempin

  • Member
  • Posts: 332
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

In the United States, there is a birth every 8 seconds, according to the U.S. Census Bureau's Population Clock.

Did you know?

In ancient Rome, many of the richer people in the population had lead-induced gout. The reason for this is unclear. Lead poisoning has also been linked to madness.

Did you know?

Malaria mortality rates are falling. Increased malaria prevention and control measures have greatly improved these rates. Since 2000, malaria mortality rates have fallen globally by 60% among all age groups, and by 65% among children under age 5.

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

Patient with exophthalmos. Patient with exophthalmos.
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
Nursing care delivery models Nursing care delivery models
Computerized Patient Record (CPR) Computerized Patient Record (CPR)
Frontal section of primary somatosensory area in right cerebral hemisphere Frontal section of primary somatosensory area in right cerebral hemisphere
Primary growth in a root Primary growth in a root
Video: Dendrite Animation

For a complete list of videos, visit our video library