Author Question: An 80-year-old woman has chronically low hemoglobin despite a diet high in iron. The primary care ... (Read 82 times)

jman1234

  • Hero Member
  • *****
  • Posts: 560
An 80-year-old woman has chronically low hemoglobin despite a diet high in iron. The primary care nurse practitioner (NP) will perform laboratory tests to confirm a diagnosis and should suspect the patient will need:
 
  a. omega-3 supplements.
  b. a folic acid supplement.
  c. a daily multivitamin with iron.
  d. a diet high in green, leafy vegetables.

Question 2

A patient has been using a nicotine nasal spray for 4 months, one to two doses every hour while awake and as needed for cravings. The patient reports that the cravings have stopped and that one dose per hour is generally sufficient.
 
  The primary care NP should recommend: a. changing to Nicorette gum as needed.
  b. using a low-dose 16-hour patch for 2 weeks.
  c. continuing one dose per hour for 2 more months and then discontinuing.
  d. beginning one dose every 2 hours for 1 week and then one dose every 4 hours.



ynlevi

  • Sr. Member
  • ****
  • Posts: 338
Answer to Question 1

B
Women and elderly adults are often at risk for folic acid deficiency leading to anemia because folic acid is necessary for synthesis of hemoglobin. Folic acid supplements are indicated. Omega-3 supplements are not indicated for anemia. If anemia is caused by iron deficiency alone, iron supplements must be used, which have more iron than a multivitamin with iron. Folic acid supplements are more effective than dietary folic acid.

Answer to Question 2

D
Once the patient is showing improvement, the nasal spray should be tapered by halving the number of doses used each week. Patients should not switch products, so nicotine replacement gum or the patch is not indicated. Tapering is recommended rather than an abrupt discontinuation to prevent acute withdrawal symptoms, which may contribute to relapse.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

Dogs have been used in studies to detect various cancers in human subjects. They have been trained to sniff breath samples from humans that were collected by having them breathe into special tubes. These people included 55 lung cancer patients, 31 breast cancer patients, and 83 cancer-free patients. The dogs detected 54 of the 55 lung cancer patients as having cancer, detected 28 of the 31 breast cancer patients, and gave only three false-positive results (detecting cancer in people who didn't have it).

Did you know?

The senior population grows every year. Seniors older than 65 years of age now comprise more than 13% of the total population. However, women outlive men. In the 85-and-over age group, there are only 45 men to every 100 women.

Did you know?

The shortest mature adult human of whom there is independent evidence was Gul Mohammed in India. In 1990, he was measured in New Delhi and stood 22.5 inches tall.

Did you know?

Acetaminophen (Tylenol) in overdose can seriously damage the liver. It should never be taken by people who use alcohol heavily; it can result in severe liver damage and even a condition requiring a liver transplant.

Did you know?

The strongest synthetic topical retinoid drug available, tazarotene, is used to treat sun-damaged skin, acne, and psoriasis.

For a complete list of videos, visit our video library