« previous next »

Author Question: A patient has been taking a progestin-only, or minipill, OC for 3 months and reports spotting and ... (Read 33 times)

nautica902

  • Hero Member
  • *****
  • Posts: 591
on: Jul 23, 2018
A patient has been taking a progestin-only, or minipill, OC for 3 months and reports spotting and irregular menstrual cycles. The nurse will:
 
  a. question the patient about any possible missed doses of the pill.
  b. reassure the patient that this is normal with this form of contraception.
  c. recommend that she take a pregnancy test to rule out pregnancy.
  d. suggest that she use a backup form of contraception until these symptoms re-solve.

Question 2

An older adult patient has confusion, memory loss, and disorientation in familiar surroundings. The patient has been taking donepezil Aricept 10 mg once daily for 6 months.
 
  The patient's symptoms have begun to worsen, and the patient's spouse asks if the medication dose can be in-creased. What will the nurse tell the spouse? a. The dose can be increased, because the patient has been taking the drug for longer than 3 months.
  b. The dose can be increased to twice daily dosing instead of once daily dosing.
  c. The increase in symptoms is the result of hepatotoxicity from the medication's side effects.
  d. The patient must take the drug for longer than 1 year before the dose can be in-creased.


srodz

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jul 23, 2018
Answer to Question 1

B
Patients taking the progestin-only OC may expect irregular bleeding, including spotting and ir-regular periods. This symptom does not indicate lack of compliance with the regimen. A preg-nancy test is not indicated. It is not necessary to use a backup form of contraception.

Answer to Question 2

A
Donepezil is given for mild, moderate, and severe AD, and dosing may be increased, although it must be titrated up slowly. For patients with moderate to severe AD who have taken 10 mg once daily for at least 3 months, the dose can be increased to 23 mg once daily. Donepezil is not given twice daily. Donepezil does not cause hepatotoxicity; hepatotoxicity occurs with tacrine, the first acetylcholinesteras e (AChE) inhibitor, which now is rarely used. Dosing is increased after 3 months, not 1 year.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Your skin wrinkles if you stay in the bathtub a long time because the outermost layer of skin (which consists of dead keratin) swells when it absorbs water. It is tightly attached to the skin below it, so it compensates for the increased area by wrinkling. This happens to the hands and feet because they have the thickest layer of dead keratin cells.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

To combat osteoporosis, changes in lifestyle and diet are recommended. At-risk patients should include 1,200 to 1,500 mg of calcium daily either via dietary means or with supplements.

Did you know?

Blastomycosis is often misdiagnosed, resulting in tragic outcomes. It is caused by a fungus living in moist soil, in wooded areas of the United States and Canada. If inhaled, the fungus can cause mild breathing problems that may worsen and cause serious illness and even death.

Did you know?

Children of people with alcoholism are more inclined to drink alcohol or use hard drugs. In fact, they are 400 times more likely to use hard drugs than those who do not have a family history of alcohol addiction.

Taking a Patient’s Oral Temperature with an Electronic Thermometer Taking a Patient’s Oral Temperature with an Electronic Thermometer
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
Caring for a patient on isolation precautions cont'd Caring for a patient on isolation precautions cont'd
Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot Vapocoolant spray application while passively stretching the paracervical muscles. Take care to prot
Standard Medical Record and Types of Reports Found in Record Standard Medical Record and Types of Reports Found in Record
Reputable Websites for Patient Education Reputable Websites for Patient Education
Video: Pressure volume relationships - Normal inspiration and expiration

For a complete list of videos, visit our video library