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

Author Question: An adolescent girl reports having heavy menstrual periods. Her hemoglobin is consistently on the low ... (Read 34 times)

CharlieWard

  • Hero Member
  • *****
  • Posts: 578
An adolescent girl reports having heavy menstrual periods. Her hemoglobin is consistently on the low end of the normal range. The primary care NP should prescribe:
 
  a. iron supplements.
  b. a folic acid supplement.
  c. oral contraceptive pills.
  d. increased red meats in her diet.

Question 2

The parent of a 3-year-old is concerned that the child's legs are not straight. The primary care NP notes marked bowing of the child's lower extremities. Radiologic studies show decreased ossification of the child's bones. The NP should:
 
  a. prescribe vitamin D supplements.
  b. recommend calcium supplements.
  c. counsel the parent to increase the child's milk intake.
  d. ensure that the parent is buying vitamin Dfortified milk.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

vish98

  • Sr. Member
  • ****
  • Posts: 326
Answer to Question 1

C
Women are at risk for iron-deficiency anemia from menstrual blood loss. Taking oral contraceptives reduces this risk by moderating periods. Iron would be indicated if anemia actually occurs, but this patient is just at risk. Folic acid supplements are not indicated to prevent iron-deficiency anemia. Dietary iron usually is not sufficient for replacing iron losses.

Answer to Question 2

A
Children who do not get enough vitamin D can have abnormalities in bone ossification leading to rickets, which is characterized by bowing of the legs. The NP should prescribe vitamin D. Calcium supplements or increased milk intake would not be helpful. Without vitamin D, the body cannot use calcium for bone ossification. The amount of vitamin D in fortified milk is not sufficient to overcome vitamin D deficiency.




CharlieWard

  • Member
  • Posts: 578
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)


Alyson.hiatt@yahoo.com

  • Member
  • Posts: 354
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

 

Did you know?

Patients should never assume they are being given the appropriate drugs. They should make sure they know which drugs are being prescribed, and always double-check that the drugs received match the prescription.

Did you know?

There are 20 feet of blood vessels in each square inch of human skin.

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?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

Blood is approximately twice as thick as water because of the cells and other components found in it.

For a complete list of videos, visit our video library