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

Author Question: A patient who was recently diagnosed with COPD comes to the clinic for a follow-up evaluation after ... (Read 50 times)

saraeharris

  • Hero Member
  • *****
  • Posts: 546
on: Jul 24, 2018
A patient who was recently diagnosed with COPD comes to the clinic for a follow-up evaluation after beginning therapy with a SABA as needed for dyspnea. The patient reports occasional mild exertional dyspnea but is able to sleep well.
 
  The patient's FEV1 in the clinic is 85 of predicted, and oxygen saturation is 96. The primary care NP should recommend: a. a combination LABA/ICS twice daily.
  b. influenza and pneumococcal vaccines.
  c. ipratropium bromide (Atrovent) twice daily.
  d. home oxygen therapy as needed for dyspnea.

Question 2

A parent calls a clinic for advice about giving an over-the-counter cough medicine to a 6-year-old child. The parent tells the NP that the medication label does not give instructions about how much to give a child. The NP should:
 
  a. order a prescription antitussive medication for the child.
  b. ask the parent to identify all of the ingredients listed on the medication label.
  c. calculate the dose for the active ingredient in the over-the-counter preparation.
  d. tell the parent to approximate the dose at about one third to one half the adult dose.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

maya.nigrin17@yahoo.com

  • Sr. Member
  • ****
  • Posts: 324
Reply #1 on: Jul 24, 2018
Answer to Question 1

B
Influenza and pneumococcal immunizations are recommended to help reduce comorbidity that will affect respiratory status. This patient is stable with the prescribed medications, so no additional medications are needed at this time. Home oxygen therapy is used for patients with severe resting hypoxemia.

Answer to Question 2

B
Over-the-counter cough medications often contain dextromethorphan, which can be toxic to young children. It is important to identify ingredients of an over-the-counter medication before deciding if it is safe for children. A prescription antitussive is probably not warranted until the cough is evaluated to determine the cause. Until the ingredients are known, it is not safe to approximate the child's dose based on only the active ingredient.


saraeharris

  • Hero Member
  • *****
  • Posts: 546
Reply #2 on: Jul 24, 2018
Thank you!


maya.nigrin17@yahoo.com

  • Sr. Member
  • ****
  • Posts: 324
Reply #3 on: Jul 24, 2018
Always glad to help...


« previous next »
 

Did you know?

Although not all of the following muscle groups are commonly used, intramuscular injections may be given into the abdominals, biceps, calves, deltoids, gluteals, laterals, pectorals, quadriceps, trapezoids, and triceps.

Did you know?

Anesthesia awareness is a potentially disturbing adverse effect wherein patients who have been paralyzed with muscle relaxants may awaken. They may be aware of their surroundings but unable to communicate or move. Neurologic monitoring equipment that helps to more closely check the patient's anesthesia stages is now available to avoid the occurrence of anesthesia awareness.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

A headache when you wake up in the morning is indicative of sinusitis. Other symptoms of sinusitis can include fever, weakness, tiredness, a cough that may be more severe at night, and a runny nose or nasal congestion.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u
Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of Mechanical ventilation. The photograph shows a patient receiving breathing assistance by the use of
Instruct the patient to use an applicator to apply a small amount of stool in the appropriate boxes ... Instruct the patient to use an applicator to apply a small amount of stool in the appropriate boxes ...
The relationship of substrate con- version (as measured by optical density) to the amount of patient ... The relationship of substrate con- version (as measured by optical density) to the amount of patient ...
(a) Chicken pox vesicles. (b) Chicken pox on back of young patient. (a) Chicken pox vesicles. (b) Chicken pox on back of young patient.
Gingival enlargement in a patient taking nifedipine. Gingival enlargement in a patient taking nifedipine.
Video: Renin/Angiotensin (water gain from urine & Na ion and water reabsorption)

For a complete list of videos, visit our video library