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Author Question: A patient has a UTI and will begin treatment with an antibiotic. The patient reports moderate to ... (Read 79 times)

arivle123

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on: Jul 24, 2018
A patient has a UTI and will begin treatment with an antibiotic. The patient reports moderate to severe suprapubic pain. The primary care NP should prescribe:
 
  a. ibuprofen as needed.
  b. bethanechol (Urecholine).
  c. phenazopyridine (Pyridium).
  d. increased oral fluid intake to dilute urine.

Question 2

A patient has been taking olanzapine (Zyprexa) for 3 weeks to treat schizophrenia. The primary care NP notes that the patient has more coherent speech and improved initiative and attentiveness but continues to have delusional ideation.
 
  The NP should: a. increase the dose of olanzapine.
  b. decrease the dose of olanzapine.
  c. maintain the same dose of olanzapine.
  d. change from olanzapine to chlorpromazine.


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tashiedavis420

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Reply #1 on: Jul 24, 2018
Answer to Question 1

C
Phenazopyridine is a urinary tract analgesic used to treat pain via a local analgesic effect on urinary tract mucosa in conjunction with antibiotics to treat UTI. Ibuprofen may be used but does not have direct effects on the urinary tract mucosa. Bethanechol is used to treat voiding dysfunction and not pain. Increasing fluid intake should be used as adjunct therapy.

Answer to Question 2

A
Clinicians should gradually increase the dose of antipsychotic medication to achieve therapeutic effects, while minimizing side effects. It may take weeks to achieve full therapeutic effects.


arivle123

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Reply #2 on: Jul 24, 2018
Both answers were spot on, thank you once again


tashiedavis420

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Reply #3 on: Jul 24, 2018
Great! Please up vote :D


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