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

Author Question: A 40-year-old woman tells the primary care nurse practitioner (NP) that she does not want more ... (Read 48 times)

@Brianna17

  • Hero Member
  • *****
  • Posts: 550
A 40-year-old woman tells the primary care nurse practitioner (NP) that she does not want more children and would like a contraceptive. She does not smoke and has no personal or family history of cardiovascular disease.
 
  She has frequent tension headaches. For this patient, the NP should prescribe: a. condoms.
  b. tubal ligation.
  c. monophasic combined oral contraceptive pill (COCP).
  d. low-estrogen COCP.

Question 2

A 55-year-old woman who experienced menopause at age 50 years undergoes central dual-energy x-ray absorptiometry and has a T-score greater than 2.5 . The patient weighs 130 lb and has a body mass index of 22 . She sits at a computer all day at work.
 
  The primary care nurse practitioner (NP) caring for this patient should: a. prescribe a bisphosphonate.
  b. prescribe hormone replacement therapy.
  c. counsel the patient about diet and exercise.
  d. prescribe a selective estrogen receptor modulator.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

laurnthompson

  • Sr. Member
  • ****
  • Posts: 334
Answer to Question 1

D
Low-estrogen COCPs are recommended for women older than 40 with or without cardiovascular risk. Monophasic COCPs are recommended for women with migraine headaches. Condoms are more useful for preventing sexually transmitted diseases and not as reliable as contraception. Tubal ligation has surgical risks.

Answer to Question 2

C
The NP should counsel the patient about diet and exercise. Women who are at least 5 years postmenopausal or who have several risk factors should have bone density testing. Osteoporosis is defined as a T-score of less than 2.5, and treatment is indicated for women with T-scores that are 2 or more standard deviations below the normal premenopausal level. It is not necessary to initiate treatment at this time.




@Brianna17

  • Member
  • Posts: 550
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)


peter

  • Member
  • Posts: 330
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

The average older adult in the United States takes five prescription drugs per day. Half of these drugs contain a sedative. Alcohol should therefore be avoided by most senior citizens because of the dangerous interactions between alcohol and sedatives.

Did you know?

Long-term mental and physical effects from substance abuse include: paranoia, psychosis, immune deficiencies, and organ damage.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

Did you know?

Certain topical medications such as clotrimazole and betamethasone are not approved for use in children younger than 12 years of age. They must be used very cautiously, as directed by a doctor, to treat any child. Children have a much greater response to topical steroid medications.

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

For a complete list of videos, visit our video library