A patient who was in a motor vehicle accident has been treated ...

[DyllonKazuo]

A patient who was in a motor vehicle accident has been treated for lower back muscle spasms with metaxalone (Skelaxin) for 1 week and reports decreased but persistent pain. A computed tomography scan is normal. The primary care NP should:
 
  a. suggest ice and rest.
  b. order physical therapy.
  c. prescribe diazepam (Valium).
  d. add an opioid analgesic medication.

Question 2

A patient has been taking furosemide 80 mg once daily for 4 weeks and returns for a follow-up visit. The primary care NP notes a blood pressure of 100/60 mm Hg. The patient's lungs are clear, and there is no peripheral edema.
 
  The patient's serum potassium is 3.4 mEq/L. The NP should: a. continue furosemide at the current dose.
  b. decrease furosemide to 60 mg once daily.
  c. increase furosemide to 80 mg twice daily.
  d. change furosemide dose the 40 mg twice daily.

[elyse44]

Answer to Question 1

B
Physical therapy may be used as an injury begins to heal. This patient is experiencing improvement of symptoms, so physical therapy may now be helpful. Ice and rest are useful in the first 24 to 48 hours after injury. Diazepam is used on a short-term basis only. Opioid analgesics are used for severe pain.

Answer to Question 2

B
The major toxicities related to loop diuretics result from fluid and electrolyte imbalances. This patient has a low potassium level just under the lower limit, so a reduction in dose is indicated.

[DyllonKazuo]

Thank you!

[elyse44]

Always glad to help...