This topic contains a solution. Click here to go to the answer

Author Question: A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). ... (Read 44 times)

SGallaher96

  • Hero Member
  • *****
  • Posts: 509
A patient who has scabies has been treated by the primary care NP twice with permethrin (Elimite). The second application was administered 10 days after the first. The patient returns to the clinic with mild pruritus and erythema.
 
  The NP does not observe new burrows on the skin. The NP should: a. order lindane.
  b. order malathion.
  c. re-treat with permethrin.
  d. prescribe triamcinolone 0.1.

Question 2

The primary care NP sees a new patient for a routine physical examination. When auscultating the heart, the NP notes a heart rate of 78 beats per minute with occasional extra beats followed by a pause.
 
  History reveals no past cardiovascular disease, but the patient reports occasional syncope and shortness of breath. The NP should: a. order an ECG and refer to a cardiologist.
  b. schedule a cardiac stress test and a graded exercise test.
  c. order a complete blood count (CBC) and electrolytes and consider a trial of procainamide.
  d. prescribe a B-blocker and anticoagulant and order 24-hour Holter monitoring.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

wuly

  • Sr. Member
  • ****
  • Posts: 327
Answer to Question 1

D
In scabies, pruritus may persist for several weeks after treatment and does not necessarily indicate the need for re-treatment. Dermatitis may persist for months. Triamcinolone 0.1 may be used to help with pruritus and dermatitis. Lindane and malathion are not indicated. Re-treatment is not necessary.

Answer to Question 2

A
Premature ventricular contractions are premature ventricular beats with a compensatory pause. This patient has no prior history, but does have syncope and shortness of breath. The NP should order an ECG and refer the patient to a cardiologist for further evaluation. If there were no other symptoms, the NP could order stress testing. Medications are not indicated without further testing and without consultation with a cardiologist.




SGallaher96

  • Member
  • Posts: 509
Reply 2 on: Jul 24, 2018
Great answer, keep it coming :)


abro1885

  • Member
  • Posts: 337
Reply 3 on: Yesterday
Wow, this really help

 

Did you know?

GI conditions that will keep you out of the U.S. armed services include ulcers, varices, fistulas, esophagitis, gastritis, congenital abnormalities, inflammatory bowel disease, enteritis, colitis, proctitis, duodenal diverticula, malabsorption syndromes, hepatitis, cirrhosis, cysts, abscesses, pancreatitis, polyps, certain hemorrhoids, splenomegaly, hernias, recent abdominal surgery, GI bypass or stomach stapling, and artificial GI openings.

Did you know?

All adults should have their cholesterol levels checked once every 5 years. During 2009–2010, 69.4% of Americans age 20 and older reported having their cholesterol checked within the last five years.

Did you know?

According to the FDA, adverse drug events harmed or killed approximately 1,200,000 people in the United States in the year 2015.

Did you know?

Medications that are definitely not safe to take when breastfeeding include radioactive drugs, antimetabolites, some cancer (chemotherapy) agents, bromocriptine, ergotamine, methotrexate, and cyclosporine.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

For a complete list of videos, visit our video library