The primary care NP is performing a medication reconciliation on ...

[futuristic]

The primary care NP is performing a medication reconciliation on a patient who takes digoxin for congestive heart failure and learns that the patient uses ibuprofen as needed for joint pain. The NP should counsel this patient to:
 
  a. use naproxen (Naprosyn) instead of ibuprofen.
  b. increase the dose of digoxin while taking the ibuprofen.
  c. use an increased dose of ibuprofen while taking the digoxin.
  d. take potassium supplements to minimize the effects of the ibuprofen.

Question 2

The primary care NP sees an adolescent who reports moderate to severe dysmenorrhea. The NP recommends an NSAID and counsels the patient about its use. Which statement by the patient indicates a need for further teaching?
 
  a. I should not take this if I think I might be pregnant.
  b. I should take this medication on a schedule for 2 to 3 days.
  c. I will begin taking this 1 to 3 days before my period begins.
  d. I will take this medicine every 4 to 6 hours as needed for pain.

[jgranad15]

Answer to Question 1

A
Ibuprofen and indomethacin increase the effects of digoxin, so the NP should recommend another NSAID, such as naproxen, that does not have this effect. Increasing the dose of digoxin or the ibuprofen would increase the likelihood of digoxin toxicity further. Potassium should be monitored while taking NSAIDs long-term, but supplements should not be given unless there is a potassium deficiency.

Answer to Question 2

D
When treating primary dysmenorrhea, NSAIDs should be started 24 to 72 hours before the patient starts menstrual bleeding. The medication should be taken on a routine basis for 2 to 3 days. It should not be taken during pregnancy.

[futuristic]

Both answers were spot on, thank you once again

[jgranad15]

Great! Please up vote