Author Question: A 50-year-old white woman who is experiencing menopause asks the primary care NP what she can do to ... (Read 57 times)

serike · **on:** Jul 24, 2018

A 50-year-old white woman who is experiencing menopause asks the primary care NP what she can do to prevent osteoporosis. She has a negative family history and no risk factors. The NP should counsel her to:

a. consider bisphosphonate therapy in 5 years.
b. undergo bone density testing every 2 years.
c. avoid high-impact sports that can lead to fractures.
d. take supplemental calcium and vitamin D every day.

Question 2

A patient who has diabetic gastroparesis sees a gastroenterology specialist who orders metoclopramide (Reglan). Within 24 hours, the patient describes having extrapyramidal symptoms (EPS) to the primary care NP.

The NP will contact the gastroenterologist and should expect to prescribe: a. benztropine (Cogentin).
b. cimetidine.
c. an SSRI antidepressant.
d. a TCA.

ricroger · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D
Postmenopausal women should consume 1200 mg of calcium and at least 1000 U of vitamin D each day. Bisphosphonate therapy should be considered for persons with known risk factors. Bone density testing is indicated for women with risk factors and then routinely after age 65 . Patients should be encouraged to engage in high-impact sports if possible to improve bone density.

Answer to Question 2

A
Cogentin is indicated to treat EPS side effects of medications such as metoclopramide. The patient should be monitored during the first 24 to 48 hours for any adverse reactions. Should EPS occur, treat with intramuscular diphenhydramine (Benadryl) 50 mg or benztropine (Cogentin) 1 to 2 mg