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

Author Question: The primary care nurse practitioner (NP) sees a 50-year-old woman who reports frequent leakage of ... (Read 67 times)

lunatika

  • Hero Member
  • *****
  • Posts: 548
on: Jul 24, 2018
The primary care nurse practitioner (NP) sees a 50-year-old woman who reports frequent leakage of urine. The NP learns that this occurs when she laughs or sneezes. She also reports having an increased urge to void even when her bladder is not full.
 
  She is not taking any medications. The NP should: a. perform a dipstick urinalysis.
  b. prescribe desmopressin (DDAVP).
  c. prescribe oxybutynin chloride (Ditropan XL).
  d. teach exercises to strengthen the pelvic muscles.

Question 2

The primary care nurse practitioner (NP) is performing a physical examination on a patient who has been taking mesoridazine (Serentil) for several weeks to treat schizophrenia. The patient is exhibiting rhythmic movements of the face and jaw.
 
  The NP should be concerned that the patient may: a. need a higher dose of mesoridazine.
  b. need to change to thioridazine (Mellaril).
  c. have developed neuroleptic malignant syndrome.
  d. be exhibiting signs of an irreversible adverse effect.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Sweetkitty24130

  • Sr. Member
  • ****
  • Posts: 291
Reply #1 on: Jul 24, 2018
Answer to Question 1

A
A focused history with a careful physical examination is essential for determining the cause of incontinence. Urinalysis can rule out urinary tract infection (UTI), which can cause incontinence. Medications are prescribed after determining the cause, if any, and treating underlying conditions. Exercises to strengthen the pelvic muscles are part of treatment.

Answer to Question 2

D
Tardive dyskinesia, or abnormal involuntary movements characterized by rhythmic involuntary movements of the tongue, face, mouth, or jaw, may be progressive and irreversible. This condition can occur with all antipsychotics, especially the first-generation antipsychotics. Increasing the dose may increase the symptoms. Thioridazine is another first-generation antipsychotic with a similar adverse-effect profile. Neuroleptic malignant syndrome occurs weeks after initiation and is characterized by fever, catatonia, muscle rigidity, and autonomic instability.


lunatika

  • Member
  • Posts: 548
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)

FergA

  • Member
  • Posts: 352
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Eating carrots will improve your eyesight. Carrots are high in vitamin A (retinol), which is essential for good vision. It can also be found in milk, cheese, egg yolks, and liver.

Did you know?

The modern decimal position system was the invention of the Hindus (around 800 AD), involving the placing of numerals to indicate their value (units, tens, hundreds, and so on).

Did you know?

Giardia is one of the most common intestinal parasites worldwide, and infects up to 20% of the world population, mostly in poorer countries with inadequate sanitation. Infections are most common in children, though chronic Giardia is more common in adults.

Did you know?

Asthma is the most common chronic childhood disease in the world. Most children who develop asthma have symptoms before they are 5 years old.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Acromegaly. Photo of a woman illustrating the enlarged skull, jaw, and hands typical of acromegaly. Acromegaly. Photo of a woman illustrating the enlarged skull, jaw, and hands typical of acromegaly.
Primary factors affecting blood pressure Primary factors affecting blood pressure
Primary School Attendance in World Regions Attending primary school is common but not universal, wo Primary School Attendance in World Regions Attending primary school is common but not universal, wo
Johannes Vermeer, Woman Holding a Balance. Johannes Vermeer, Woman Holding a Balance.
Cell-mediated immunity, primary and secondary response. Cell-mediated immunity, primary and secondary response.
Video: Carbon fixing adaptations Animation

For a complete list of videos, visit our video library