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

Author Question: A 50-year-old patient who recently quit smoking reports a frequent morning cough productive of ... (Read 34 times)

Lobcity

  • Hero Member
  • *****
  • Posts: 524
A 50-year-old patient who recently quit smoking reports a frequent morning cough productive of yellow sputum. A chest x-ray is clear, and the patient's FEV1 is 80 of predicted. Pulse oximetry reveals an oxygen saturation of 97.
 
  The primary care NP auscultates clear breath sounds. The NP should: a. reassure the patient that these symptoms will subside.
  b. prescribe a moderate-dose ICS twice daily.
  c. order a long-acting anticholinergic with albuterol twice daily.
  d. prescribe an albuterol metered-dose-inhaler, 2 puffs every 4 hours as needed.

Question 2

A woman who is breastfeeding her infant asks the primary care NP what she can use for headaches while she is nursing. The NP tells her:
 
  a. most medications enter breast milk and are not safe.
  b. most over-the-counter medications are safe for the breastfed infant.
  c. she may need to interrupt breastfeeding when taking headache medications.
  d. she should consider weaning her infant to formula if her headaches are frequent.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

chem1s3

  • Sr. Member
  • ****
  • Posts: 320
Answer to Question 1

D
For patients with stable COPD having respiratory symptoms with FEV1 between 60 and 80 of predicted, inhaled bronchodilators may be used. COPD is not reversible, and the symptoms will not subside. ICS therapy or long-acting anticholinergics are recommended when FEV1 is less than 60.

Answer to Question 2

B
Most over-the-counter medications are considered safe for the breastfed infant and do not necessitate a disruption of breastfeeding, even though most medications cross easily into breast milk. Any interruption of breastfeeding carries a risk of premature weaning and so is indicated only when the mother must take medications known to cause serious harm to the baby. It is not recommended that she wean her infant to formula when she needs medications for her headaches.




Lobcity

  • Member
  • Posts: 524
Reply 2 on: Jul 24, 2018
Gracias!


yeungji

  • Member
  • Posts: 319
Reply 3 on: Yesterday
Excellent

 

Did you know?

Prostaglandins were first isolated from human semen in Sweden in the 1930s. They were so named because the researcher thought that they came from the prostate gland. In fact, prostaglandins exist and are synthesized in almost every cell of the body.

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

Did you know?

Atropine was named after the Greek goddess Atropos, the oldest and ugliest of the three sisters known as the Fates, who controlled the destiny of men.

Did you know?

Bacteria have been found alive in a lake buried one half mile under ice in Antarctica.

Did you know?

Drug abusers experience the following scenario: The pleasure given by their drug (or drugs) of choice is so strong that it is difficult to eradicate even after years of staying away from the substances involved. Certain triggers may cause a drug abuser to relapse. Research shows that long-term drug abuse results in significant changes in brain function that persist long after an individual stops using drugs. It is most important to realize that the same is true of not just illegal substances but alcohol and tobacco as well.

For a complete list of videos, visit our video library