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

Author Question: A patient has heart failure. A recent echocardiogram reveals decreased compliance of the left ... (Read 80 times)

Mr3Hunna

  • Hero Member
  • *****
  • Posts: 536
A patient has heart failure. A recent echocardiogram reveals decreased compliance of the left ventricle and poor ventricular filling. The patient takes low-dose furosemide and an ACE inhibitor.
 
  The primary care NP sees the patient for a routine physical examination and notes a heart rate of 92 beats per minute and a blood pressure of 100/60 mm Hg. The NP should: a. order serum electrolytes.
  b. obtain renal function tests.
  c. consider prescribing a B-blocker.
  d. call the patient's cardiologist to discuss adding digoxin to the patient's regimen.

Question 2

The neighbor of a primary care NP asks the NP to write a prescription for an antibiotic. The NP should tell the neighbor:
 
  a. a prescription will be written one time only.
  b. she will ask a colleague to write the prescription.
  c. that it is illegal to write prescriptions for friends.
  d. that it is best if the neighbor sees a health care provider before obtaining a prescription.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

l.stuut

  • Sr. Member
  • ****
  • Posts: 345
Answer to Question 1

A
Patients with diastolic heart failure are sensitive to fluid depletion, which can cause decreased preload and stroke volume. This patient has a rapid heart rate and a low blood pressure, which can indicate dehydration, so serum electrolytes should be obtained. Renal function tests are not indicated. B-Blockers are used in patients who are stable. Digoxin should not be used in patients with diastolic failure.

Answer to Question 2

D
It is not illegal to prescribe antibiotics for friends, but it is unethical. It is better if patients are seen and diagnosed appropriately before antibiotics are prescribed. The NP should recommend that the neighbor see a health care provider.




Mr3Hunna

  • Member
  • Posts: 536
Reply 2 on: Jul 24, 2018
Wow, this really help


marict

  • Member
  • Posts: 304
Reply 3 on: Yesterday
:D TYSM

 

Did you know?

Signs and symptoms that may signify an eye tumor include general blurred vision, bulging eye(s), double vision, a sensation of a foreign body in the eye(s), iris defects, limited ability to move the eyelid(s), limited ability to move the eye(s), pain or discomfort in or around the eyes or eyelids, red or pink eyes, white or cloud spots on the eye(s), colored spots on the eyelid(s), swelling around the eyes, swollen eyelid(s), and general vision loss.

Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Each year in the United States, there are approximately six million pregnancies. This means that at any one time, about 4% of women in the United States are pregnant.

Did you know?

Multiple sclerosis is a condition wherein the body's nervous system is weakened by an autoimmune reaction that attacks the myelin sheaths of neurons.

Did you know?

Barbituric acid, the base material of barbiturates, was first synthesized in 1863 by Adolph von Bayer. His company later went on to synthesize aspirin for the first time, and Bayer aspirin is still a popular brand today.

For a complete list of videos, visit our video library