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

Author Question: A patient reports fatigue, weight loss, and dry skin. The primary care nurse practitioner (NP) ... (Read 37 times)

NguyenJ

  • Hero Member
  • *****
  • Posts: 516
on: Jul 24, 2018
A patient reports fatigue, weight loss, and dry skin. The primary care nurse practitioner (NP) orders thyroid function tests. The patient's thyroid stimulating hormone (TSH) is 40 microunits/mL, and T4 is 0.1 ng/mL.
 
  The NP should refer the patient to an endocrinologist and prescribe: a. methimazole.
  b. liothyronine.
  c. levothyroxine.
  d. propylthiouracil.

Question 2

A patient has been taking antibiotics to treat recurrent pneumonia. The patient is in the clinic after having diarrhea for 5 days with six to seven liquid stools each day. The primary care NP should:
 
  a. obtain a stool specimen and order vancomycin.
  b. order testing for Clostridium difficile and consider metronidazole therapy.
  c. prescribe diphenoxylate (Lomotil) to provide symptomatic relief.
  d. reassure the patient that diarrhea is a common side effect of antibiotic therapy.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jaykayy05

  • Sr. Member
  • ****
  • Posts: 329
Reply #1 on: Jul 24, 2018
Answer to Question 1

C
This patient has hypothyroidism and should be treated with levothyroxine. Methimazole is a thyroid suppressant. Liothyronine is synthetic T3 . Propylthiouracil is a thyroid suppressant.

Answer to Question 2

B
The guidelines for treatment of diarrhea emphasize comprehensive evaluation before treatment begins. Antibiotic use points to C. difficile as a possible cause, and metronidazole is often used to treat mild to moderate infection. Vancomycin is used when C. difficile is severe. Diphenoxylate can worsen the infection because it slows transit time of the bacteria in the gut. Prolonged diarrhea during antibiotic therapy should be investigated.


NguyenJ

  • Member
  • Posts: 516
Reply 2 on: Jul 24, 2018
Wow, this really help

okolip

  • Member
  • Posts: 362
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Since 1988, the CDC has reported a 99% reduction in bacterial meningitis caused by Haemophilus influenzae, due to the introduction of the vaccine against it.

Did you know?

About 3.2 billion people, nearly half the world population, are at risk for malaria. In 2015, there are about 214 million malaria cases and an estimated 438,000 malaria deaths.

Did you know?

Hippocrates noted that blood separates into four differently colored liquids when removed from the body and examined: a pure red liquid mixed with white liquid material with a yellow-colored froth at the top and a black substance that settles underneath; he named these the four humors (for blood, phlegm, yellow bile, and black bile).

Did you know?

Throughout history, plants containing cardiac steroids have been used as heart drugs and as poisons (e.g., in arrows used in combat), emetics, and diuretics.

Did you know?

Although the Roman numeral for the number 4 has always been taught to have been "IV," according to historians, the ancient Romans probably used "IIII" most of the time. This is partially backed up by the fact that early grandfather clocks displayed IIII for the number 4 instead of IV. Early clockmakers apparently thought that the IIII balanced out the VIII (used for the number 8) on the clock face and that it just looked better.

Anfinsen's experiments with ribonuclease demonstrating that the primary structure of a polypept Anfinsen's experiments with ribonuclease demonstrating that the primary structure of a polypept
In the communication technique of collaborating, the nurse sends the message that the nurse and pati In the communication technique of collaborating, the nurse sends the message that the nurse and pati
The nurse assesses the patient's ability to use the walker correctly The nurse assesses the patient's ability to use the walker correctly
Bereaved spouses studied before loss, at the time of loss, and 18 months after loss show five ... Bereaved spouses studied before loss, at the time of loss, and 18 months after loss show five ...
Day Care and Attachment Day Care and Attachment
Heat Loss by the Body Heat Loss by the Body
Video: Pneumonia Animation

For a complete list of videos, visit our video library