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 21 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
Gracias!

dreamfighter72

  • Member
  • Posts: 355
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

Did you know?

The calories found in one piece of cherry cheesecake could light a 60-watt light bulb for 1.5 hours.

Did you know?

In 2006, a generic antinausea drug named ondansetron was approved. It is used to stop nausea and vomiting associated with surgery, chemotherapy, and radiation therapy.

Did you know?

The National Institutes of Health have supported research into acupuncture. This has shown that acupuncture significantly reduced pain associated with osteoarthritis of the knee, when used as a complement to conventional therapies.

Did you know?

About 600,000 particles of skin are shed every hour by each human. If you live to age 70 years, you have shed 105 pounds of dead skin.

The tone of the nurse-patient introduction sets the stage for the patient interview and patient care The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Patient education Patient education
Apply direct pressure to the patient’s wound. Apply direct pressure to the patient’s wound.
Toxoplasma gondii in the heart of an HIV patient. Toxoplasma gondii in the heart of an HIV patient.
Gingival enlargement in a patient taking nifedipine. Gingival enlargement in a patient taking nifedipine.
Ex vivo and in vivo gene therapy for a patient with a liver disorder Ex vivo and in vivo gene therapy for a patient with a liver disorder
Video: Complement Proteins Animation

For a complete list of videos, visit our video library