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

Author Question: A primary care nurse practitioner (NP) is evaluating a patient with asthma who reports having ... (Read 72 times)

berenicecastro

  • Hero Member
  • *****
  • Posts: 581
on: Jul 24, 2018
A primary care nurse practitioner (NP) is evaluating a patient with asthma who reports having wheezing and coughing 1 or 2 days each week and awakening from sleep three or four times each month with asthma symptoms.
 
  The patient's forced expiratory volume in 1 second (FEV1) is 80 of the predicted value. The patient's current medication regimen is an albuterol metered-dose inhaler, 2 puffs every 4 hours as needed. The NP should prescribe: a. montelukast (Singulair) po daily.
  b. ipratropium bromide bid with albuterol.
  c. a low-dose inhaled corticosteroid (ICS), 2 puffs bid.
  d. a long-acting B-adrenergic agonist (LABA), 1 puff bid.

Question 2

A woman who is pregnant tells an NP that she has been taking sertraline for depression for several years but is worried about the effects of this drug on her fetus. The NP will consult with this patient's psychiatrist and will recommend that she:
 
  a. stop taking the sertraline now.
  b. continue taking the antidepressant.
  c. change to a monoamine oxidase inhibitor (MAOI).
  d. discontinue the sertraline a week before delivery.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jordangronback

  • Sr. Member
  • ****
  • Posts: 339
Reply #1 on: Jul 24, 2018
Answer to Question 1

C
This patient has symptoms of mild, persistent asthma. The preferred controller medication in adults and children with persistent asthma is a low-dose ICS. Montelukast is a leukotriene modifier, which may be considered as an alternative to a low-dose ICS but is not the first option to try. Ipratropium is often used during an acute exacerbation but not for long-term control. LABA medications are used in patients with moderate persistent symptoms.

Answer to Question 2

B
Many women are taking medication for depression before becoming pregnant. Abrupt discontinuation is not recommended, and many clinicians suggest that women at high risk for serious depression during pregnancy might best be served by continuing medication throughout pregnancy. MAOIs may limit fetal growth and are generally discouraged during pregnancy. It is not necessary to discontinue the sertraline just before delivery.


berenicecastro

  • Member
  • Posts: 581
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)

vickybb89

  • Member
  • Posts: 347
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Approximately 70% of expectant mothers report experiencing some symptoms of morning sickness during the first trimester of pregnancy.

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

Did you know?

Pregnant women usually experience a heightened sense of smell beginning late in the first trimester. Some experts call this the body's way of protecting a pregnant woman from foods that are unsafe for the fetus.

Did you know?

Individuals are never “cured” of addictions. Instead, they learn how to manage their disease to lead healthy, balanced lives.

Illustration showing how the primary breast tumor metastasized through the lymphatic and blood vesse Illustration showing how the primary breast tumor metastasized through the lymphatic and blood vesse
Management of asthma Management of asthma
Changes in the bronchioles during an asthma attack: (a) Normal bronchiole; (b) the inflammatory comp Changes in the bronchioles during an asthma attack: (a) Normal bronchiole; (b) the inflammatory comp
A patient centered care approach A patient centered care approach
Denture sore mouth in a patient who never removed partial dentures at night. Denture sore mouth in a patient who never removed partial dentures at night.
Satellite data on primary productivity in the equatorial Pacific Ocean Satellite data on primary productivity in the equatorial Pacific Ocean
Video: Types of Shock (Part 2 of 2)

For a complete list of videos, visit our video library