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

Author Question: A patient who has IBS has been taking dicyclomine and reports decreased pain and diarrhea but is now ... (Read 104 times)

D2AR0N

  • Hero Member
  • *****
  • Posts: 561
on: Jul 24, 2018
A patient who has IBS has been taking dicyclomine and reports decreased pain and diarrhea but is now having occasional constipation. The primary care NP should recommend:
 
  a. beginning treatment with an SSRI.
  b. beginning therapy with a TCA.
  c. over-the-counter (OTC) laxatives as needed when constipated.
  d. increasing the amounts of raw fruits and vegetables in the diet.

Question 2

A patient who has diabetes is taking metformin 1000 mg daily. At a clinic visit, the patient reports having abdominal pain and nausea. The primary care NP notes a heart rate of 92 beats per minute. The NP should:
 
  a. obtain LFTs.
  b. decrease the dose of metformin.
  c. change metformin to glyburide.
  d. order electrolytes, ketones, and serum glucose.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

diesoon

  • Sr. Member
  • ****
  • Posts: 353
Reply #1 on: Jul 24, 2018
Answer to Question 1

C
Patients who experience constipation may use OTC laxatives as needed. Antidepressants, such as SSRIs or TCAs, are used long-term to help with pain. Raw fruits and vegetables can increase the likelihood of bloating.

Answer to Question 2

D
Symptoms of lactic acidosis include nausea, abdominal pain, and tachycardia. Tests should include electrolytes, ketones, and serum glucose.


D2AR0N

  • Member
  • Posts: 561
Reply 2 on: Jul 24, 2018
:D TYSM

mohan

  • Member
  • Posts: 362
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

The lipid bilayer is made of phospholipids. They are arranged in a double layer because one of their ends is attracted to water while the other is repelled by water.

Did you know?

There can actually be a 25-hour time difference between certain locations in the world. The International Date Line passes between the islands of Samoa and American Samoa. It is not a straight line, but "zig-zags" around various island chains. Therefore, Samoa and nearby islands have one date, while American Samoa and nearby islands are one day behind. Daylight saving time is used in some islands, but not in others—further shifting the hours out of sync with natural time.

Did you know?

Your heart beats over 36 million times a year.

Taking a Patient’s Oral Temperature with an Electronic Thermometer Taking a Patient’s Oral Temperature with an Electronic Thermometer
Caring for a patient on isolation precautions cont'd Caring for a patient on isolation precautions cont'd
A visually impaired patient is assisted by a service dog. A visually impaired patient is assisted by a service dog.
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
Jaundice seen in the eyes and the skin of a patient with hepatitis A. Jaundice seen in the eyes and the skin of a patient with hepatitis A.
Video: Role of the respiratory system - effect of altered ventilation rates

For a complete list of videos, visit our video library