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

Author Question: A woman who has been taking a COCP for 2 months tells the primary care NP that she has had several ... (Read 78 times)

pepyto

  • Hero Member
  • *****
  • Posts: 547
on: Jul 24, 2018
A woman who has been taking a COCP for 2 months tells the primary care NP that she has had several headaches, breakthrough bleeding, and nausea. The NP should counsel the woman:
 
  a. to change to a progestin-only pill.
  b. to stop taking the COCP immediately.
  c. to use a backup form of contraception.
  d. that these effects will likely decrease in another month.

Question 2

The primary care nurse practitioner (NP) is seeing a patient who reports chronic lower back pain. The patient reports having difficulty sleeping despite taking ibuprofen at bedtime each night. The NP should prescribe:
 
  a. diazepam (Valium).
  b. metaxalone (Skelaxin).
  c. methocarbamol (Robaxin).
  d. cyclobenzaprine (Flexeril).


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

dyrone

  • Sr. Member
  • ****
  • Posts: 322
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
Breakthrough bleeding, nausea, and headaches are common during the first 3 months of therapy and should improve without intervention. Progestin-only pills are used for lactating women only. Prolonged bleeding and severe headache would warrant discontinuation of the COCP. Backup contraception is not indicated.

Answer to Question 2

D
Cyclobenzaprine (Flexeril) is indicated for chronic low back pain and provides an added benefit of aiding sleep, which is a common problem among patients with back pain. The other medications are used for acute lower back pain.


pepyto

  • Member
  • Posts: 547
Reply 2 on: Jul 24, 2018
Gracias!

emsimon14

  • Member
  • Posts: 344
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Your heart beats over 36 million times a year.

Did you know?

There are more nerve cells in one human brain than there are stars in the Milky Way.

Did you know?

Inotropic therapy does not have a role in the treatment of most heart failure patients. These drugs can make patients feel and function better but usually do not lengthen the predicted length of their lives.

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?

A strange skin disease referred to as Morgellons has occurred in the southern United States and in California. Symptoms include slowly healing sores, joint pain, persistent fatigue, and a sensation of things crawling through the skin. Another symptom is strange-looking, threadlike extrusions coming out of the skin.

The primary structure of ribonuclease The primary structure of ribonuclease
An overview of the process of primary and secondary growth in a woody stem. An overview of the process of primary and secondary growth in a woody stem.
A photograph of a woman with exophthalmos. This condition is associated with hypersecretion of the t A photograph of a woman with exophthalmos. This condition is associated with hypersecretion of the t
Patients of all socioeconomic backgrounds should be given equal care. Patients of all socioeconomic backgrounds should be given equal care.
Phoneme Perception in the First 12 Months Phoneme Perception in the First 12 Months
Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex. Lobes of the brain, with primary receiving and integrating centers of the human cerebral cortex.
Video: Passive Smoke Exposure

For a complete list of videos, visit our video library