A postmenopausal woman develops NSAID-induced ulcer. The primary ...

[laurencescou]

A postmenopausal woman develops NSAID-induced ulcer. The primary care NP should prescribe:
 
  a. ranitidine (Zantac).
  b. omeprazole (Prilosec).
  c. esomeprazole (Nexium).
  d. pantoprazole (Protonix).

Question 2

A patient comes to the clinic and reports breaking out in an urticarial rash 1 hour after taking acetaminophen for osteoarthritis symptoms. The primary care NP should:
 
  a. order a complete blood count with differential.
  b. order liver and renal function tests.
  c. suspect Reye's syndrome and arrange for hospitalization.
  d. tell the patient not to take products containing acetaminophen again.

[Chocorrol77]

Answer to Question 1

A
PPIs carry a possible increased risk of fractures in postmenopausal women. The NP should begin therapy with a histamine-2 blocker, such as ranitidine.

Answer to Question 2

D
Urticaria is indicative of a hypersensitivity reaction to acetaminophen. Patients who are hypersensitive should not take the drug again. Laboratory tests are not indicated. An urticarial rash does not indicate Reye's syndrome.

[laurencescou]

Excellent

[Perkypinki]

TYSM