Author Question: A patient who has IBS experiences diarrhea, bloating, and pain but does not want to take medication. ... (Read 25 times)

audie · **on:** Jul 24, 2018

A patient who has IBS experiences diarrhea, bloating, and pain but does not want to take medication. The primary care NP should recommend:

a. 25 g of fiber each day.
b. avoiding gluten and lactose in the diet.
c. increasing water intake to eight to ten glasses per day.
d. beginning aerobic exercise, such as running, every day.

Question 2

A patient with a history of gouty arthritis comes to the clinic with acute pain and swelling of the great toe. The patient is not currently taking any medications. The primary care NP should prescribe:

a. naproxen.
b. colchicine.
c. probenecid.
d. allopurinol.

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

Answer to Question 1

A
A diet with adequate fiber is the cornerstone of treatment, and 25 g per day is recommended. Unless the patient has a documented gluten or lactose malabsorption, avoiding these substances is not recommended. Water intake should be six to eight glasses per day. Regular walking is usually the best exercise.

Answer to Question 2

A
Naproxen is the first medication given for an attack of acute gouty arthritis to stop the inflammatory response. Pharmacologic treatment for hyperuricemia must be started after the acute attack has subsided.