Author Question: A patient who has recently begun working at night reports having difficulty staying awake at work. ... (Read 79 times)

a0266361136 · **on:** Jul 24, 2018

A patient who has recently begun working at night reports having difficulty staying awake at work. The primary care NP should consider prescribing:

a. caffeine.
b. modafinil (Provigil).
c. methylphenidate (Ritalin).
d. dextroamphetamine (Dexedrine).

Question 2

A perimenopausal woman tells the primary care NP that she is having hot flashes and increasingly severe mood swings. The woman has had a hysterectomy. The NP should prescribe:

a. estrogen-only HT.
b. low-dose oral contraceptive therapy.
c. selective serotonin reuptake inhibitor therapy until menopause begins.
d. estrogen-progesterone HT.

jordangronback · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

B
Modafinil is approved for day/night shift changes in adults as well as narcolepsy, excessive daytime sleepiness, and sleep apnea.

Answer to Question 2

A
Estrogen-only regimens are used in women without a uterus and may be initiated to treat perimenopause symptoms if needed. Low-dose oral contraceptive pills are used to treat irregular menstrual bleeding in perimenopausal women.