Author Question: A primary care NP prescribes oxybutynin chloride for an 80-year-old patient to treat urinary ... (Read 59 times)

mmm

  • Hero Member
  • *****
  • Posts: 558
A primary care NP prescribes oxybutynin chloride for an 80-year-old patient to treat urinary incontinence. When teaching this patient about this medication, the NP should tell the patient:
 
  a. to increase intake of fluids and fiber.
  b. that alcohol may be consumed in moderation.
  c. that drowsiness may be a transient adverse effect.
  d. that hypertension may occur and to report headaches.

Question 2

A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence of Helicobacter pylori. The primary care NP orders a proton pump inhibitor (PPI) before meals twice daily, clarithromycin, and amoxicillin.
 
  After 14 days of treatment, H. pylori is still present. The NP should order: a. continuation of the PPI for 4 to 8 weeks.
  b. a PPI, amoxicillin, and metronidazole for 14 days.
  c. a PPI, clarithromycin, and amoxicillin for 14 more days.
  d. a PPI, bismuth subsalicylate, tetracycline, and metronidazole.



chem1s3

  • Sr. Member
  • ****
  • Posts: 320
Answer to Question 1

A
Oxybutynin chloride is an anticholinergic drug and can cause dry mouth and constipation. Patients should be taught to increase fluids and fiber. Patients should be cautioned to avoid alcoholic beverages. Drowsiness occurs but does not subside, and elderly patients are at increased risk for this side effect. Anticholinergics cause hypotension.

Answer to Question 2

B
A PPI, along with amoxicillin and metronidazole, is used as first-line treatment in macrolide-allergic patients and for re-treatment for 14 days if first-line treatment of choice failed because of occasional resistance to clarithromycin.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Persons who overdose with cardiac glycosides have a better chance of overall survival if they can survive the first 24 hours after the overdose.

Did you know?

When blood is exposed to air, it clots. Heparin allows the blood to come in direct contact with air without clotting.

Did you know?

Oliver Wendell Holmes is credited with introducing the words "anesthesia" and "anesthetic" into the English language in 1846.

Did you know?

In 1885, the Lloyd Manufacturing Company of Albany, New York, promoted and sold "Cocaine Toothache Drops" at 15 cents per bottle! In 1914, the Harrison Narcotic Act brought the sale and distribution of this drug under federal control.

Did you know?

The heart is located in the center of the chest, with part of it tipped slightly so that it taps against the left side of the chest.

For a complete list of videos, visit our video library