Author Question: A patient in the clinic reports heartburn 30 minutes after meals, a feeling of fullness, frequent ... (Read 23 times)

nautica902 · **on:** Jul 24, 2018

A patient in the clinic reports heartburn 30 minutes after meals, a feeling of fullness, frequent belching, and a constant sour taste. The patient has a normal weight and reports having a high-stress job. The primary care NP should recommend:

a. antacid therapy as needed.
b. changes in diet to avoid acidic foods.
c. daily treatment with a PPI.
d. consultation with a gastroenterologist for endoscopy.

Question 2

A patient with a recent diagnosis of schizophrenia is taking thioridazine (Mellaril) to treat psychotic symptoms.

The patient's family member is concerned that the patient continues to have little interest in activities and has difficulty beginning even simple tasks. The primary care NP should contact the patient's psychiatrist to discuss changing to: a. fluphenazine (Prolixin).
b. risperidone (Risperdal).
c. chlorpromazine (Thorazine).
d. prochlorperazine (Compazine).

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

Answer to Question 1

C
This patient has symptoms of GERD. PPIs are first-line medications for treating GERD and may be started empirically. Antacids are not first-line medications. Changes in diet are not recommended as treatment but may help with symptoms. Patients with symptoms unrelieved by PPIs should be referred for possible endoscopy.

Answer to Question 2

B
First-generation antipsychotics treat positive but not negative symptoms associated with psychotic states. This patient exhibits negative symptoms and should be treated with a second-generation antipsychotic, such as risperidone. The other three drugs are first-generation antipsychotics.