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

Author Question: A patient is taking a low-dose PPI for long-term management of GERD and reports taking sodium ... (Read 63 times)

ts19998

  • Hero Member
  • *****
  • Posts: 531
on: Jul 24, 2018
A patient is taking a low-dose PPI for long-term management of GERD and reports taking sodium bicarbonate (Alka-Seltzer) to help with occasional heartburn. The primary care NP should tell the patient to:
 
  a. change to aluminum hydroxide (Amphojel).
  b. use magnesium hydroxide (Milk of Magnesia) instead.
  c. continue using sodium bicarbonate (Alka-Seltzer) as needed.
  d. take calcium carbonate (Tums) instead of sodium bicarbonate (Alka-Seltzer).

Question 2

A patient who is newly diagnosed with schizophrenia is overweight and has a positive family history for type 2 diabetes mellitus. The primary care NP should consider initiating antipsychotic therapy with:
 
  a. ziprasidone (Geodon).
  b. olanzapine (Zyprexa).
  c. risperidone (Risperdal).
  d. chlorpromazine (Thorazine).


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

whitcassie

  • Sr. Member
  • ****
  • Posts: 298
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
Sodium bicarbonate is not suitable for long-term use because of side effects. Calcium carbonate requires monitoring when used long-term but has the highest acid-neutralizing capacity. Antacids containing aluminum and magnesium can cause electrolyte imbalances.

Answer to Question 2

A
Many antipsychotics increase the risk of metabolic syndrome in patients. Ziprasidone does not have effects on weight. The other agents all increase the risk of weight gain and metabolic syndrome.


ts19998

  • Member
  • Posts: 531
Reply 2 on: Jul 24, 2018
Excellent

ryhom

  • Member
  • Posts: 366
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

People often find it difficult to accept the idea that bacteria can be beneficial and improve health. Lactic acid bacteria are good, and when eaten, these bacteria improve health and increase longevity. These bacteria included in foods such as yogurt.

Did you know?

In women, pharmacodynamic differences include increased sensitivity to (and increased effectiveness of) beta-blockers, opioids, selective serotonin reuptake inhibitors, and typical antipsychotics.

Did you know?

During pregnancy, a woman is more likely to experience bleeding gums and nosebleeds caused by hormonal changes that increase blood flow to the mouth and nose.

Did you know?

The people with the highest levels of LDL are Mexican American males and non-Hispanic black females.

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).

(A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive (A) Scratch test; patient is exposed to allergens through a light scratch on the skin; (B) Positive
Medical assistants can quickly pull up a patient record when a phone call is received. Medical assistants can quickly pull up a patient record when a phone call is received.
Patient health history form Cont. Patient health history form Cont.
ROM exercises on a patient’s wrist: radial deviation. ROM exercises on a patient’s wrist: radial deviation.
Opioids for Pain Management Opioids for Pain Management
Long-wave energy flux is emitted from Earth Long-wave energy flux is emitted from Earth
Video: Transferring genes into plants Animation

For a complete list of videos, visit our video library