At an annual well-woman examination, the primary care nurse ...

[awywial]

At an annual well-woman examination, the primary care nurse practitioner (NP) asks a patient about alcohol consumption.
 
  The woman reports she usually consumes six glasses of wine per week and occasionally will consume three or four glasses at a party. The NP smells alcohol on the woman's breath. The woman says she is hung over today. The NP should: a. order liver function tests (LFTs) and a complete blood count.
  b. question her further about her nightly alcohol consumptionask what size her wine glasses are.
  c. consider her at high risk for alcoholism.
  d. refer her to treatment for alcohol abuse.

Question 2

An adult patient who has a viral upper respiratory infection asks the primary care nurse practitioner (NP) about taking acetaminophen for fever and muscle aches. To help ensure against possible drug toxicity, the NP should first:
 
  a. determine the patient's height and weight.
  b. ask the patient how high the temperature has been.
  c. tell the patient to take 325 mg initially and increase as needed.
  d. ask the patient about any other over-the-counter (OTC) cold medications being used.

[swimkari]

Answer to Question 1

B
Patients with alcohol on their breath should be assessed for alcohol abuse. The woman describes an amount of drinking that would put her at low risk, but alcoholics often minimize their drinking. A first step would be to get more information about how much she is drinking. The laboratory work may be indicated when the degree of suspicion is confirmed. Once alcoholism is diagnosed, she should be referred for treatment.

Answer to Question 2

D
Acetaminophen is present in many other OTC products, so patients should be cautioned about taking these with acetaminophen to avoid overdose. The adult dose is not based on height and weight and is not determined by the degree of temperature elevation.

[awywial]

TYSM

[Laurenleakan]

Excellent