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

Author Question: An NP sees a patient who reports persistent seasonal symptoms of rhinorrhea, sneezing, and nasal ... (Read 48 times)

Pea0909berry

  • Hero Member
  • *****
  • Posts: 573
on: Jul 24, 2018
An NP sees a patient who reports persistent seasonal symptoms of rhinorrhea, sneezing, and nasal itching every spring unrelieved with diphenhydramine (Benadryl). The NP should prescribe:
 
  a. azelastine (Astelin).
  b. triamcinolone (Nasacort AQ).
  c. phenylephrine (Neo-Synephrine).
  d. cromolyn sodium (Nasalcrom).

Question 2

A patient who will undergo surgery in implant a biosynthetic heart valve asks the primary care NP whether any medications will be necessary postoperatively. The NP should tell the patient that it will be necessary to take:
 
  a. daily low-dose aspirin for 1 year.
  b. heparin injections as needed based on activated partial thromboplastin time levels.
  c. lifelong warfarin combined with enoxaparin as needed.
  d. warfarin for 3 months postoperatively plus long-term aspirin.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

fwbard

  • Sr. Member
  • ****
  • Posts: 325
Reply #1 on: Jul 24, 2018
Answer to Question 1

B
According to randomized controlled trials in patients with allergic rhinitis, oral antihistamines are used first to help control itching, sneezing, rhinorrhea, and stuffiness in most patients. Intranasal corticosteroids are indicated for patients who do not respond to antihistamines. Azelastine is a topical antihistamine. Phenylephrine is a decongestant, and this patient does not have congestion. Cromolyn sodium is less effective than intranasal corticosteroids.

Answer to Question 2

D
Patients with biosynthetic valves should receive anticoagulation for 3 months with long-term aspirin prophylaxis. Patients with biosynthetic valves should receive anticoagulation for 3 months (INR goal, 2 to 3). Long-term prophylaxis for these patients should include aminosalicylic acid (75 to 100 mg daily), unless AF is present.


Pea0909berry

  • Hero Member
  • *****
  • Posts: 573
Reply #2 on: Jul 24, 2018
TY


fwbard

  • Sr. Member
  • ****
  • Posts: 325
Reply #3 on: Jul 24, 2018
You're welcome


« previous next »
 

Did you know?

Alzheimer's disease affects only about 10% of people older than 65 years of age. Most forms of decreased mental function and dementia are caused by disuse (letting the mind get lazy).

Did you know?

Every flu season is different, and even healthy people can get extremely sick from the flu, as well as spread it to others. The flu season can begin as early as October and last as late as May. Every person over six months of age should get an annual flu vaccine. The vaccine cannot cause you to get influenza, but in some seasons, may not be completely able to prevent you from acquiring influenza due to changes in causative viruses. The viruses in the flu shot are killed—there is no way they can give you the flu. Minor side effects include soreness, redness, or swelling where the shot was given. It is possible to develop a slight fever, and body aches, but these are simply signs that the body is responding to the vaccine and making itself ready to fight off the influenza virus should you come in contact with it.

Did you know?

Most fungi that pathogenically affect humans live in soil. If a person is not healthy, has an open wound, or is immunocompromised, a fungal infection can be very aggressive.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

If you use artificial sweeteners, such as cyclamates, your eyes may be more sensitive to light. Other factors that will make your eyes more sensitive to light include use of antibiotics, oral contraceptives, hypertension medications, diuretics, and antidiabetic medications.

Patient with typical rheumatoid arthritis contractures. Patient with typical rheumatoid arthritis contractures.
Teaching an illterate patient Teaching an illterate patient
Sequence of patient positions for heart auscultation Sequence of patient positions for heart auscultation
Instilling Nasal Medications Instilling Nasal Medications
Areas of sclerosis (see arrows) in the white matter of a patient with MS. Areas of sclerosis (see arrows) in the white matter of a patient with MS.
Video: Methods of carbon dioxide transport - carbaminohemoglobin and bicarbonate ions

For a complete list of videos, visit our video library