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

Author Question: A 22-year-old male patient who has dropped out of college has increasingly disorganized behavior and ... (Read 27 times)

luvbio

  • Hero Member
  • *****
  • Posts: 623
on: Jul 24, 2018
A 22-year-old male patient who has dropped out of college has increasingly disorganized behavior and delusional thinking. His parents report that he lives at home and has no desire to find a job or help around the house.
 
  The primary care NP has ruled out organic causes and has referred the patient to a psychiatrist for treatment. To prepare for the referral visit, the NP should: a. begin therapy with a low-potency antipsychotic.
  b. begin therapy with a high-potency antipsychotic.
  c. obtain a complete blood count (CBC), serum lipids, and hemoglobin A1c.
  d. order liver function tests (LFTs), a CBC, an electrocardiogram (ECG), and a urinalysis.

Question 2

A patient who has diabetes reports intense discomfort when needing to void. A urinalysis is normal. To treat this, the primary care NP should consider prescribing:
 
  a. flavoxate (Urispas).
  b. bethanechol (Urecholine).
  c. phenazopyridine (Pyridium).
  d. oxybutynin chloride (Ditropan XL).


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

parshano

  • Sr. Member
  • ****
  • Posts: 333
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
Before antipsychotic drugs are initiated, baseline laboratory tests, including LFTs, CBC, ECG, and urinalysis, should be performed. Serum lipids and hemoglobin A1c may be ordered if the patient has risk factors for diabetes or metabolic syndrome.

Answer to Question 2

D
This patient is describing urge incontinence, or overactive bladder, which occurs when the detrusor muscle is hyperactive, causing an intense urge to void before the bladder is full. Urge incontinence is associated with many conditions, including diabetes. Oxybutynin chloride, which is an anticholinergic, acts to decrease detrusor overactivity and is indicated for treatment of urge incontinence. Flavoxate is used to treat dysuria associated with UTI. Bethanechol is indicated for urinary retention. Phenazopyridine is used to treat dysuria.


luvbio

  • Hero Member
  • *****
  • Posts: 623
Reply #2 on: Jul 24, 2018
TY


parshano

  • Sr. Member
  • ****
  • Posts: 333
Reply #3 on: Jul 24, 2018
You're welcome


« 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?

Of the estimated 2 million heroin users in the United States, 600,000–800,000 are considered hardcore addicts. Heroin addiction is considered to be one of the hardest addictions to recover from.

Did you know?

Approximately 15–25% of recognized pregnancies end in miscarriage. However, many miscarriages often occur before a woman even knows she is pregnant.

Did you know?

During the twentieth century, a variant of the metric system was used in Russia and France in which the base unit of mass was the tonne. Instead of kilograms, this system used millitonnes (mt).

Did you know?

Though newer “smart” infusion pumps are increasingly becoming more sophisticated, they cannot prevent all programming and administration errors. Health care professionals that use smart infusion pumps must still practice the rights of medication administration and have other professionals double-check all high-risk infusions.

Male lying supine with large ecchymosis on lateral rib cage and shoulder. Male lying supine with large ecchymosis on lateral rib cage and shoulder.
Polycystic kidney disease. Notice the presence of numerous fluid-filled sacs, or cysts, in these kid Polycystic kidney disease. Notice the presence of numerous fluid-filled sacs, or cysts, in these kid
Patient teaching: nose and sinus assessment Patient teaching: nose and sinus assessment
Pure Alexia in a Patient with Multiple Sclerosis Pure Alexia in a Patient with Multiple Sclerosis
Deliver abdominal thrusts to the supine unconscious patient. Deliver abdominal thrusts to the supine unconscious patient.
Mendel’s observations about segregation and independent assortment are explained by the behavior ... Mendel’s observations about segregation and independent assortment are explained by the behavior ...
Video: Blood Flow Through the Kidneys

For a complete list of videos, visit our video library