A patient who is a recovering alcoholic is preparing for surgery ...

[chandani]

A patient who is a recovering alcoholic is preparing for surgery and expresses fears about using opioid analgesics postoperatively for pain. The primary care NP should tell the patient:
 
  a. that opioids should not be used.
  b. to take a very low dose of the opioid.
  c. that nonsteroidal antiinflammatory drugs will be the only safe option.
  d. that opioids are safe when taken as directed.

Question 2

A primary care nurse practitioner (NP) sees a child who has several honey-colored crusted lesions around the nose and mouth. The NP notes that no other lesions are present. The NP should prescribe:
 
  a. dicloxacillin.
  b. clarithromycin.
  c. mupirocin topical.
  d. trimethoprim-sulfamethoxazole (TMP-SMX).

[upturnedfurball]

Answer to Question 1

D
Fear of drug dependency or addiction does not justify withholding of opiates or inadequate management of pain. As long as the medication is taken as directed, it is safe.

Answer to Question 2

C
Although systemic antibiotics are often required to treat impetigo, mupirocin can be used for topical treatment of mild impetigo. Because this is a localized infection, mupirocin can be ordered empirically. Dicloxacillin and clarithromycin are used when systemic empirical treatment is indicated. TMP-SMX is used to treat cellulitis.

[chandani]

Gracias!

[kthug]

TYSM