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Author Question: A patient reports having an acute onset of low back pain associated with lifting a heavy object the ... (Read 75 times)

Redwolflake15

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on: Jul 24, 2018
A patient reports having an acute onset of low back pain associated with lifting a heavy object the day before. Besides advising the patient to rest and apply ice, the primary care NP should prescribe:
 
  a. an opioid analgesic.
  b. metaxalone (Skelaxin)
  c. cyclobenzaprine (Flexeril).
  d. a nonsteroidal antiinflammatory drug (NSAID).

Question 2

The primary care NP sees a patient who has heart failure following an MI 6 months before this visit. The patient has been taking an ACE inhibitor, nitroglycerin, furosemide, and hydrochlorothiazide .
 
  The NP auscultates crackles in both lungs and notes pitting edema of both feet. The NP should prescribe: a. mannitol.
  b. metolazone.
  c. acetazolamide (Diamox).
  d. spironolactone (Aldactone).


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marict

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Reply #1 on: Jul 24, 2018
Answer to Question 1

D
NSAIDs and acetaminophen are first-line analgesic treatments for low back pain. Opioids are used for severe low back pain. The other two medications are not first-line treatments.

Answer to Question 2

D
Spironolactone has been shown to be of particular benefit in the treatment of severe congestive heart failure when added to an ACE inhibitor and a loop diuretic.


Redwolflake15

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Reply 2 on: Jul 24, 2018
Thanks for the timely response, appreciate it

6ana001

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Reply 3 on: Yesterday
Wow, this really help

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