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

Author Question: A patient who has osteoarthritis is scheduled to have knee surgery. The patient takes aspirin for MI ... (Read 80 times)

danielfitts88

  • Hero Member
  • *****
  • Posts: 535
on: Jul 24, 2018
A patient who has osteoarthritis is scheduled to have knee surgery. The patient takes aspirin for MI prophylaxis and naproxen (Naprosyn) for pain and inflammation.
 
  Which statement by the patient to the primary care NP indicates a need for further teaching? a. I should stop taking aspirin at least 5 days before surgery.
  b. I will check with the surgeon to see if I need to stop taking the naproxen.
  c. I will need to stop taking both medications 1 week before I have surgery.
  d. Both of these medications interfere with platelet production and may cause blood clots.

Question 2

A patient who has hypothyroidism has been taking levothyroxine 50 mcg daily for 2 weeks. The patient reports continued fatigue. The primary care NP should:
 
  a. order a T4 level today.
  b. increase the dose to 100 mcg.
  c. check the TSH level in 1 week.
  d. reassure the patient that this will improve in several weeks.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

bob

  • Sr. Member
  • ****
  • Posts: 343
Reply #1 on: Jul 24, 2018
Answer to Question 1

C
Although both medications interfere with platelet formation, some NSAIDs may continue to be taken before surgery, depending on the procedure and the surgeon preference. The patient should stop taking aspirin 5 days before surgery.

Answer to Question 2

C
Full therapeutic effectiveness may not be achieved for 3 to 6 weeks. Measuring the TSH level is indicated to evaluate drug effectiveness. The dose should not be increased without first evaluating the patient's TSH level.


danielfitts88

  • Hero Member
  • *****
  • Posts: 535
Reply #2 on: Jul 24, 2018
Thank you!


bob

  • Sr. Member
  • ****
  • Posts: 343
Reply #3 on: Jul 24, 2018
Always glad to help...


« previous next »
 

Did you know?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Did you know?

More than 30% of American adults, and about 12% of children utilize health care approaches that were developed outside of conventional medicine.

Did you know?

Asthma attacks and symptoms usually get started by specific triggers (such as viruses, allergies, gases, and air particles). You should talk to your doctor about these triggers and find ways to avoid or get rid of them.

Did you know?

For pediatric patients, intravenous fluids are the most commonly cited products involved in medication errors that are reported to the USP.

Did you know?

Critical care patients are twice as likely to receive the wrong medication. Of these errors, 20% are life-threatening, and 42% require additional life-sustaining treatments.

Client on IV patient-controlled analgesia (PCA). Client on IV patient-controlled analgesia (PCA).
Patient education Patient education
Medical assistants are often involved in confidential conversations between the physician and the pa Medical assistants are often involved in confidential conversations between the physician and the pa
Positioning the Patient in the Fowler’s Position Positioning the Patient in the Fowler’s Position
Instructing a Patient on Breast Self-Examination Instructing a Patient on Breast Self-Examination
Chest X-ray of a patient with emphysema. Chest X-ray of a patient with emphysema.
Video: Dissociative Disorders (Part 2)

For a complete list of videos, visit our video library