Author Question: The primary care NP is reviewing evidence-based recommendations about the off-label use of a ... (Read 20 times)

sdfghj

  • Hero Member
  • *****
  • Posts: 552
The primary care NP is reviewing evidence-based recommendations about the off-label use of a particular drug. Which recommendation should influence the NP's decision about prescribing the medication?
 
  a. Data from randomized, experimental studies
  b. Patient reports about effectiveness of the drug for this purpose
  c. Pharmaceutical company reports using anecdotal evidence
  d. Endorsement of this use by a leading practitioner in the field

Question 2

A patient is in the clinic for an annual physical examination. The primary care NP obtains a medication history and learns that the patient is taking a B-blocker and nitroglycerin.
 
  The NP orders laboratory tests, performs a physical examination, and performs a review of systems. Which finding may warrant discontinuation of the -blocker in this patient? a. Increased triglycerides
  b. Decreased exercise tolerance
  c. Wheezing, dyspnea, and cough
  d. Nausea, vomiting, and anorexia



Pswine

  • Sr. Member
  • ****
  • Posts: 328
Answer to Question 1

A
Randomized, experimental studies yield the best data about use of medications. Patient reports carry the least weight because bias can occur and other factors can influence outcomes. Pharmaceutical company reports are biased.

Answer to Question 2

C
B-Blockers may cause bronchospasm in susceptible patients, and discontinuation of the B-blocker may be required. B-Blockers may cause an insignificant increase in serum triglycerides. Exercise intolerance, fatigue, and gastrointestinal side effects are common.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question


 

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Did you know?

The heart is located in the center of the chest, with part of it tipped slightly so that it taps against the left side of the chest.

Did you know?

Carbamazepine can interfere with the results of home pregnancy tests. If you are taking carbamazepine, do not try to test for pregnancy at home.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

The Centers for Disease Control and Prevention has released reports detailing the deaths of infants (younger than 1 year of age) who died after being given cold and cough medications. This underscores the importance of educating parents that children younger than 2 years of age should never be given over-the-counter cold and cough medications without consulting their physicians.

For a complete list of videos, visit our video library