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

Author Question: An 80-year-old patient has begun taking propranolol (Inderal) and reports feeling tired all of the ... (Read 39 times)

newbem

  • Hero Member
  • *****
  • Posts: 579
on: Jul 24, 2018
An 80-year-old patient has begun taking propranolol (Inderal) and reports feeling tired all of the time. The primary care NP should:
 
  a. tell the patient to stop taking the medication immediately.
  b. recommend that the patient take the medication at bedtime.
  c. tell the patient that tolerance to this side effect will occur over time.
  d. contact the patient's cardiologist to discuss decreasing the dose of propranolol.

Question 2

The primary care NP has referred a child who has significant gastrointestinal reflux disease to a specialist for consideration for a fundoplication and gastrostomy tube placement.
 
  The child's weight is 80 of what is recommended for age, and a recent swallow study revealed significant risk for aspiration. The child's parents do not want the procedure. The NP should: a. compromise with the parents and order a nasogastric tube for feedings.
  b. initiate a discussion with the parents about the potential outcomes of each possible action.
  c. refer the family to a case manager who can help guide the parents to the best decision.
  d. understand that the child's parents have a right to make choices that override those of the medical team.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

gabrielle_lawrence

  • Sr. Member
  • ****
  • Posts: 353
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
Elderly patients have described sedation and sleep disturbances with B-blockers. Elderly patients often need lower doses of these drugs. Patients should not be advised to discontinue the medication abruptly.

Answer to Question 2

B
In general, the goal of a health care decision maker is to choose an action that is most likely to deliver the outcomes the patient wants. Initiating a discussion about outcomes helps parents decide based on end results. A nasogastric tube is not the best choice for the child, and compromising without first exploring options is incorrect. As part of the therapeutic relationship, the NP should be involved with patients' decisions. Although patients and families have the right to make decisions, the NP has an obligation to ensure that the decisions are informed decisions.


newbem

  • Member
  • Posts: 579
Reply 2 on: Jul 24, 2018
Excellent

cici

  • Member
  • Posts: 325
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

Astigmatism is the most common vision problem. It may accompany nearsightedness or farsightedness. It is usually caused by an irregularly shaped cornea, but sometimes it is the result of an irregularly shaped lens. Either type can be corrected by eyeglasses, contact lenses, or refractive surgery.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

A recent study has found that following a diet rich in berries may slow down the aging process of the brain. This diet apparently helps to keep dopamine levels much higher than are seen in normal individuals who do not eat berries as a regular part of their diet as they enter their later years.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates's recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

Intradermal injections are somewhat difficult to correctly administer because the skin layers are so thin that it is easy to accidentally punch through to the deeper subcutaneous layer.

A 100-Year Flood Map of Montpelier, Vermont A 100-Year Flood Map of Montpelier, Vermont
The Kingsley plantation, on Fort George Island in Jacksonville, Florida. Zephaniah Kingsley, the own The Kingsley plantation, on Fort George Island in Jacksonville, Florida. Zephaniah Kingsley, the own
Taking a Wound Culture Taking a Wound Culture
Role-Playing a Situation in Which a Patient Is from Another Culture Role-Playing a Situation in Which a Patient Is from Another Culture
A therapist assisting an amputee patient to regain mobility and strength after amputation. A therapist assisting an amputee patient to regain mobility and strength after amputation.
Kahan (Last Year) Kahan (Last Year)
Video: Generalized life cycles for plants and animals Animation

For a complete list of videos, visit our video library