This topic contains a solution. Click here to go to the answer

Author Question: The primary care NP is performing a medication reconciliation on a patient who takes digoxin for ... (Read 69 times)

futuristic

  • Hero Member
  • *****
  • Posts: 638
The primary care NP is performing a medication reconciliation on a patient who takes digoxin for congestive heart failure and learns that the patient uses ibuprofen as needed for joint pain. The NP should counsel this patient to:
 
  a. use naproxen (Naprosyn) instead of ibuprofen.
  b. increase the dose of digoxin while taking the ibuprofen.
  c. use an increased dose of ibuprofen while taking the digoxin.
  d. take potassium supplements to minimize the effects of the ibuprofen.

Question 2

The primary care NP sees an adolescent who reports moderate to severe dysmenorrhea. The NP recommends an NSAID and counsels the patient about its use. Which statement by the patient indicates a need for further teaching?
 
  a. I should not take this if I think I might be pregnant.
  b. I should take this medication on a schedule for 2 to 3 days.
  c. I will begin taking this 1 to 3 days before my period begins.
  d. I will take this medicine every 4 to 6 hours as needed for pain.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jgranad15

  • Sr. Member
  • ****
  • Posts: 345
Answer to Question 1

A
Ibuprofen and indomethacin increase the effects of digoxin, so the NP should recommend another NSAID, such as naproxen, that does not have this effect. Increasing the dose of digoxin or the ibuprofen would increase the likelihood of digoxin toxicity further. Potassium should be monitored while taking NSAIDs long-term, but supplements should not be given unless there is a potassium deficiency.

Answer to Question 2

D
When treating primary dysmenorrhea, NSAIDs should be started 24 to 72 hours before the patient starts menstrual bleeding. The medication should be taken on a routine basis for 2 to 3 days. It should not be taken during pregnancy.



futuristic

  • Hero Member
  • *****
  • Posts: 638
Both answers were spot on, thank you once again




 

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

Sildenafil (Viagra®) has two actions that may be of consequence in patients with heart disease. It can lower the blood pressure, and it can interact with nitrates. It should never be used in patients who are taking nitrates.

Did you know?

Chronic necrotizing aspergillosis has a slowly progressive process that, unlike invasive aspergillosis, does not spread to other organ systems or the blood vessels. It most often affects middle-aged and elderly individuals, spreading to surrounding tissue in the lungs. The disease often does not respond to conventionally successful treatments, and requires individualized therapies in order to keep it from becoming life-threatening.

Did you know?

The Romans did not use numerals to indicate fractions but instead used words to indicate parts of a whole.

Did you know?

ACTH levels are normally highest in the early morning (between 6 and 8 A.M.) and lowest in the evening (between 6 and 11 P.M.). Therefore, a doctor who suspects abnormal levels looks for low ACTH in the morning and high ACTH in the evening.

For a complete list of videos, visit our video library