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

Author Question: A patient has been taking trimethoprim-sulfamethoxazole (TMP/SMX) for 14 days. The patient calls the ... (Read 61 times)

Redwolflake15

  • Hero Member
  • *****
  • Posts: 569
on: Jul 24, 2018
A patient has been taking trimethoprim-sulfamethoxazole (TMP/SMX) for 14 days. The patient calls the primary care nurse practitioner (NP) to report fever, rash, and enlarged lymph nodes. The NP should suspect:
 
  a. serum sickness reaction.
  b. immediate sensitivity reaction.
  c. cytotoxic hypersensitivity reaction.
  d. cell-mediated hypersensitivity reaction.

Question 2

A patient tells the primary care NP about having difficulty giving presentations at work. The patient experiences anxiety and often feels faint or vomits. The NP should:
 
  a. prescribe buspirone.
  b. prescribe alprazolam.
  c. order a selective serotonin reuptake inhibitor (SSRI) antidepressant.
  d. recommend cognitive-behavioral therapy.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

karmakat49

  • Sr. Member
  • ****
  • Posts: 369
Reply #1 on: Jul 24, 2018
Answer to Question 1

A
Serum sickness reaction can occur days to weeks after administration of the drug and is characterized by fever, rash, and lymphadenopathy. Immediate sensitivity reaction includes anaphylaxis, urticaria, and angioedema and occurs within 30 minutes of drug administration. Cytotoxic hypersensitivity reaction causes hemolytic anemia, neutropenia, and thrombocytopenia and develops 7 to 14 days after drug administration. Cell-mediated hypersensitivity reaction causes maculopapular rash, Stevens-Johnson syndrome, and toxic epidermal necrolysis and takes 48 to 72 hours to develop.

Answer to Question 2

D
The patient is describing a phobic disorder. Cognitive-behavioral therapy is recommended as first-line treatment, with SSRI medications as adjunct therapy.


Redwolflake15

  • Member
  • Posts: 569
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)

jackie

  • Member
  • Posts: 324
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

In most cases, kidneys can recover from almost complete loss of function, such as in acute kidney (renal) failure.

Did you know?

About 80% of major fungal systemic infections are due to Candida albicans. Another form, Candida peritonitis, occurs most often in postoperative patients. A rare disease, Candida meningitis, may follow leukemia, kidney transplant, other immunosuppressed factors, or when suffering from Candida septicemia.

Did you know?

The first oncogene was discovered in 1970 and was termed SRC (pronounced "SARK").

Did you know?

Cutaneous mucormycosis is a rare fungal infection that has been fatal in at least 29% of cases, and in as many as 83% of cases, depending on the patient's health prior to infection. It has occurred often after natural disasters such as tornados, and early treatment is essential.

Did you know?

In 2012, nearly 24 milliion Americans, aged 12 and older, had abused an illicit drug, according to the National Institute on Drug Abuse (NIDA).

Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u Sublingual medication administration. Photograph of a male patient placing a nitroglycerine tablet u
Patient with exophthalmos. Patient with exophthalmos.
The patient is undergoing an allergy skin test by receiving subdermal inoculations of allergens. Inf The patient is undergoing an allergy skin test by receiving subdermal inoculations of allergens. Inf
Taking a Pap smear. Taking a Pap smear.
The medical assistant escorts the patient into the examination room. The medical assistant escorts the patient into the examination room.
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
Video: Factors that increase metabolic rate and heat production

For a complete list of videos, visit our video library