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 62 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
Great answer, keep it coming :)

nanny

  • Member
  • Posts: 313
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

A recent study has found that following a diet rich in berries may slow down the aging process of the brain. This diet apparently helps to keep dopamine levels much higher than are seen in normal individuals who do not eat berries as a regular part of their diet as they enter their later years.

Did you know?

Addicts to opiates often avoid treatment because they are afraid of withdrawal. Though unpleasant, with proper management, withdrawal is rarely fatal and passes relatively quickly.

Did you know?

Coca-Cola originally used coca leaves and caffeine from the African kola nut. It was advertised as a therapeutic agent and "pickerupper." Eventually, its formulation was changed, and the coca leaves were removed because of the effects of regulation on cocaine-related products.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Symptoms that are most common in toxic spider bites Symptoms that are most common in toxic spider bites
Visual Acuity Testing: Assist the patient in occluding the eye. Visual Acuity Testing: Assist the patient in occluding the eye.
It is important to act concerned when a patient is upset. It is important to act concerned when a patient is upset.
Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm. Aquamatic pad and heating unit provide dry heat treatment to a patient’s arm.
Symptoms That May Lead to a Diagnosis of Attention Deficit/Hyperactivity Disorder Symptoms That May Lead to a Diagnosis of Attention Deficit/Hyperactivity Disorder
Pneumonia patient’s chest x-ray. Note the irregular areas of density. Pneumonia patient’s chest x-ray. Note the irregular areas of density.
Video: Flexor reflex & Crossed extensor reflex

For a complete list of videos, visit our video library