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 79 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
:D TYSM

momolu

  • Member
  • Posts: 320
Reply 3 on: Yesterday
Great answer, keep it coming :)

« previous next »
 

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

Did you know?

According to the National Institute of Environmental Health Sciences, lung disease is the third leading killer in the United States, responsible for one in seven deaths. It is the leading cause of death among infants under the age of one year.

Did you know?

There are major differences in the metabolism of morphine and the illegal drug heroin. Morphine mostly produces its CNS effects through m-receptors, and at k- and d-receptors. Heroin has a slight affinity for opiate receptors. Most of its actions are due to metabolism to active metabolites (6-acetylmorphine, morphine, and morphine-6-glucuronide).

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Treating the pregnant patient Treating the pregnant patient
U.S. Life Expectancy by Year of Birth U.S. Life Expectancy by Year of Birth
Algorithm for assessing a patient at risk for self-directed violence. Algorithm for assessing a patient at risk for self-directed violence.
Examples of endocrine disorders. (C) A patient with congenital hypothyroidism. Examples of endocrine disorders. (C) A patient with congenital hypothyroidism.
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.
A patient with goiter due to iodine deficiency. A patient with goiter due to iodine deficiency.
Video: Buffers definition and the role of buffer in the body

For a complete list of videos, visit our video library