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

Author Question: A 50-year-old white woman who is experiencing menopause asks the primary care NP what she can do to ... (Read 19 times)

serike

  • Hero Member
  • *****
  • Posts: 542
on: Jul 24, 2018
A 50-year-old white woman who is experiencing menopause asks the primary care NP what she can do to prevent osteoporosis. She has a negative family history and no risk factors. The NP should counsel her to:
 
  a. consider bisphosphonate therapy in 5 years.
  b. undergo bone density testing every 2 years.
  c. avoid high-impact sports that can lead to fractures.
  d. take supplemental calcium and vitamin D every day.

Question 2

A patient who has diabetic gastroparesis sees a gastroenterology specialist who orders metoclopramide (Reglan). Within 24 hours, the patient describes having extrapyramidal symptoms (EPS) to the primary care NP.
 
  The NP will contact the gastroenterologist and should expect to prescribe: a. benztropine (Cogentin).
  b. cimetidine.
  c. an SSRI antidepressant.
  d. a TCA.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

ricroger

  • Sr. Member
  • ****
  • Posts: 352
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
Postmenopausal women should consume 1200 mg of calcium and at least 1000 U of vitamin D each day. Bisphosphonate therapy should be considered for persons with known risk factors. Bone density testing is indicated for women with risk factors and then routinely after age 65 . Patients should be encouraged to engage in high-impact sports if possible to improve bone density.

Answer to Question 2

A
Cogentin is indicated to treat EPS side effects of medications such as metoclopramide. The patient should be monitored during the first 24 to 48 hours for any adverse reactions. Should EPS occur, treat with intramuscular diphenhydramine (Benadryl) 50 mg or benztropine (Cogentin) 1 to 2 mg


serike

  • Member
  • Posts: 542
Reply 2 on: Jul 24, 2018
Excellent

daiying98

  • Member
  • Posts: 354
Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

« previous next »
 

Did you know?

Sperm cells are so tiny that 400 to 500 million (400,000,000–500,000,000) of them fit onto 1 tsp.

Did you know?

People with high total cholesterol have about two times the risk for heart disease as people with ideal levels.

Did you know?

The cure for trichomoniasis is easy as long as the patient does not drink alcoholic beverages for 24 hours. Just a single dose of medication is needed to rid the body of the disease. However, without proper precautions, an individual may contract the disease repeatedly. In fact, most people develop trichomoniasis again within three months of their last treatment.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Did you know?

Hypertension is a silent killer because it is deadly and has no significant early symptoms. The danger from hypertension is the extra load on the heart, which can lead to hypertensive heart disease and kidney damage. This occurs without any major symptoms until the high blood pressure becomes extreme. Regular blood pressure checks are an important method of catching hypertension before it can kill you.

Structure of cellulose, the main macromolecule of the primary cell wall Structure of cellulose, the main macromolecule of the primary cell wall
Patients are encouraged to take an active role in their health care. Patients are encouraged to take an active role in their health care.
The primary and secondary adaptive responses. The primary and secondary adaptive responses.
Draping for a woman’s chest. A. Place a towel over the sheet on the upper chest. B. Hold the towel ... Draping for a woman’s chest. A. Place a towel over the sheet on the upper chest. B. Hold the towel ...
Elizabeth, a married 35-year-old woman, always thought that she followed a sensible diet Elizabeth, a married 35-year-old woman, always thought that she followed a sensible diet
White, Blond and Brown Roux White, Blond and Brown Roux
Video: The Krebs Cycle Animation

For a complete list of videos, visit our video library