Author Question: A primary care NP prescribes a COCP for a woman who is taking them for the first time. After ... (Read 40 times)

cmoore54 · **on:** Jul 24, 2018

A primary care NP prescribes a COCP for a woman who is taking them for the first time. After teaching, the woman should correctly state the need for using a backup form of contraception if she:

a. is having vomiting or diarrhea.
b. delays taking a pill by 5 or 6 hours.
c. takes nonsteroidal antiinflammatory drugs several days in a row.
d. has recurrent headaches or insomnia.

Question 2

The primary care NP sees a patient who has a history of hypertension and alcoholism. The patient is not taking any medications. The NP auscultates crackles in both lungs and palpates the liver 2 cm below the costal margin.

Laboratory tests show an elevated creatinine level. The NP will refer this patient to a cardiologist and should prescribe: a. albuterol metered-dose inhaler.
b. furosemide (Lasix).
c. spironolactone (Aldactone).
d. chlorthalidone (Zaroxolyn).

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

Answer to Question 1

A
Vomiting and diarrhea may cause oral contraceptive failure, so women should be advised to use backup contraception if they experience these. The other conditions do not lead to oral contraceptive failure.

Answer to Question 2

B
In the treatment of heart failure, loop diuretics relieve the congestive symptoms of pulmonary and congestive edema. Loop diuretics are also useful to treat states of volume excess in cirrhosis and renal insufficiency. Because this patient has a history of alcoholism and has an enlarged liver on examination, furosemide is a good first choice to relieve this patient's congestive symptoms. Spironolactone and chlorthalidone are not loop diuretics. Albuterol might be used for symptomatic treatment only.