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 71 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
Wow, this really help

kilada

  • Member
  • Posts: 311
Reply 3 on: Yesterday
Excellent

« previous next »
 

Did you know?

There are approximately 3 million unintended pregnancies in the United States each year.

Did you know?

In the United States, there is a birth every 8 seconds, according to the U.S. Census Bureau's Population Clock.

Did you know?

There are immediate benefits of chiropractic adjustments that are visible via magnetic resonance imaging (MRI). It shows that spinal manipulation therapy is effective in decreasing pain and increasing the gaps between the vertebrae, reducing pressure that leads to pain.

Did you know?

Cancer has been around as long as humankind, but only in the second half of the twentieth century did the number of cancer cases explode.

Did you know?

Allergies play a major part in the health of children. The most prevalent childhood allergies are milk, egg, soy, wheat, peanuts, tree nuts, and seafood.

Taking a Patient’s Temperature with a Tympanic Thermometer Taking a Patient’s Temperature with a Tympanic Thermometer
Palpating the Apical Impulse with the Patient on the Left Side Palpating the Apical Impulse with the Patient on the Left Side
The physician uses auscultation to listen to a patient’s heart. The physician uses auscultation to listen to a patient’s heart.
Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease. Amyloid plaques (stained blue) in the brain of a deceased patient who had Alzheimer’s disease.
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.
Denture sore mouth in a patient who never removed partial dentures at night. Denture sore mouth in a patient who never removed partial dentures at night.
Video: Miller's reaction chamber experiment Animation

For a complete list of videos, visit our video library