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

Author Question: A patient who has just been diagnosed with RA is experiencing minimal pain and mild symptoms. The ... (Read 123 times)

nramada

  • Hero Member
  • *****
  • Posts: 580
on: Jul 24, 2018
A patient who has just been diagnosed with RA is experiencing minimal pain and mild symptoms. The primary care NP should consult with a rheumatologist and should recommend:
 
  a. ibuprofen.
  b. methotrexate.
  c. acetaminophen.
  d. herbal remedies.

Question 2

A patient has been taking levothyroxine 100 mcg daily for several months. The patient comes to the clinic with complaints of insomnia and irritability. The primary care NP notes a heart rate of 92 beats per minute. The NP should:
 
  a. change to liothyronine 75 mcg/day.
  b. discontinue levothyroxine indefinitely.
  c. order propylthiouracil to counter the increased thyroid levels.
  d. order TSH and T4 levels and decrease the dose to 75 mcg/day.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

livaneabi

  • Sr. Member
  • ****
  • Posts: 328
Reply #1 on: Jul 24, 2018
Answer to Question 1

A
If the disease is mild, NSAIDs are recommended at full therapeutic doses for the first 2 to 3 months before starting DMARDs such as methotrexate. Acetaminophen and herbal remedies are not recommended as monotherapy.

Answer to Question 2

D
When signs of thyrotoxicosis occur, the drug should be decreased or temporarily discontinued for 5 to 7 days. Liothyronine is not indicated. Propylthiouracil is not indicated.


nramada

  • Member
  • Posts: 580
Reply 2 on: Jul 24, 2018
Excellent

tanna.moeller

  • Member
  • Posts: 328
Reply 3 on: Yesterday
Wow, this really help

« previous next »
 

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Hip fractures are the most serious consequences of osteoporosis. The incidence of hip fractures increases with each decade among patients in their 60s to patients in their 90s for both women and men of all populations. Men and women older than 80 years of age show the highest incidence of hip fractures.

Did you know?

Though the United States has largely rejected the metric system, it is used for currency, as in 100 pennies = 1 dollar. Previously, the British currency system was used, with measurements such as 12 pence to the shilling, and 20 shillings to the pound.

Did you know?

Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

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.

Schematic of an automated external defibrillator (AED) attached to a patient. Schematic of an automated external defibrillator (AED) attached to a patient.
An example of a medical history sheet to list patient problems. An example of a medical history sheet to list patient problems.
Patient Teaching Methods Cont. Patient Teaching Methods Cont.
Areas of sclerosis (see arrows) in the white matter of a patient with MS. Areas of sclerosis (see arrows) in the white matter of a patient with MS.
Signs and symptoms of acute glomerulonephritis. Signs and symptoms of acute glomerulonephritis.
Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ... Indirect enzyme immunoassay. A patient's antibody reacts with the antigen, which is detected ...
Video: DNA Replication Factory and Protein

For a complete list of videos, visit our video library