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

Author Question: An 80-year-old patient has begun taking propranolol (Inderal) and reports feeling tired all of the ... (Read 87 times)

newbem

  • Hero Member
  • *****
  • Posts: 579
An 80-year-old patient has begun taking propranolol (Inderal) and reports feeling tired all of the time. The primary care NP should:
 
  a. tell the patient to stop taking the medication immediately.
  b. recommend that the patient take the medication at bedtime.
  c. tell the patient that tolerance to this side effect will occur over time.
  d. contact the patient's cardiologist to discuss decreasing the dose of propranolol.

Question 2

The primary care NP has referred a child who has significant gastrointestinal reflux disease to a specialist for consideration for a fundoplication and gastrostomy tube placement.
 
  The child's weight is 80 of what is recommended for age, and a recent swallow study revealed significant risk for aspiration. The child's parents do not want the procedure. The NP should: a. compromise with the parents and order a nasogastric tube for feedings.
  b. initiate a discussion with the parents about the potential outcomes of each possible action.
  c. refer the family to a case manager who can help guide the parents to the best decision.
  d. understand that the child's parents have a right to make choices that override those of the medical team.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

gabrielle_lawrence

  • Sr. Member
  • ****
  • Posts: 353
Answer to Question 1

D
Elderly patients have described sedation and sleep disturbances with B-blockers. Elderly patients often need lower doses of these drugs. Patients should not be advised to discontinue the medication abruptly.

Answer to Question 2

B
In general, the goal of a health care decision maker is to choose an action that is most likely to deliver the outcomes the patient wants. Initiating a discussion about outcomes helps parents decide based on end results. A nasogastric tube is not the best choice for the child, and compromising without first exploring options is incorrect. As part of the therapeutic relationship, the NP should be involved with patients' decisions. Although patients and families have the right to make decisions, the NP has an obligation to ensure that the decisions are informed decisions.




newbem

  • Member
  • Posts: 579
Reply 2 on: Jul 24, 2018
:D TYSM


ebonylittles

  • Member
  • Posts: 318
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

The average office desk has 400 times more bacteria on it than a toilet.

Did you know?

In 2006, a generic antinausea drug named ondansetron was approved. It is used to stop nausea and vomiting associated with surgery, chemotherapy, and radiation therapy.

Did you know?

The lipid bilayer is made of phospholipids. They are arranged in a double layer because one of their ends is attracted to water while the other is repelled by water.

Did you know?

Tobacco depletes the body of vitamins A, C, and E, which can result in any of the following: dry hair, dry skin, dry eyes, poor growth, night blindness, abscesses, insomnia, fatigue, reproductive system problems, sinusitis, pneumonia, frequent respiratory problems, skin disorders, weight loss, rickets, osteomalacia, nervousness, muscle spasms, leg cramps, extremity numbness, bone malformations, decayed teeth, difficulty in walking, irritability, restlessness, profuse sweating, increased uric acid (gout), joint damage, damaged red blood cells, destruction of nerves, infertility, miscarriage, and many types of cancer.

For a complete list of videos, visit our video library