NR 508 midterm

NR 508 midterm Before prescribing phentermine a through drug history should be taken including for the use of sertonergic agents such as selective serotonin re uptake inhibitors (SSRI's) and St Johns wart due to risk of Serotonin syndrome A primary care NP sees a patient who is being treated for heart failure with digoxin, a loop diuretic, and an ACE inhibitor. The patient reports having nausea. The NP notes a heart rate of 60 beats per minute and a blood pressure of 100/60 mm Hg. The NP should: obtain a digoxin level before pt takes another dose drug cost of therapy include pain an suffering due to inadequate drug therapy A patient is in the clinic complaining of nausea and vomiting that has lasted 2 to 3 days. The patient has dry oral mucous membranes, a blood pressure of 90/56 mm Hg, a pulse of 96 beats per minute, and a temperature of 38.8° C. The primary care NP notes a capillary refill of greater than 3 seconds. The NP should: admit for IV re-hydration A primary care NP is performing a pre-visit health history on a new patient. The patient reports taking vitamins every day. The NP should: ask Pt to bring all vitamin bottles to clinic apointment A woman has severe IBS and takes hyoscyamine sulfate (Levsin), simethicone (Phazyme), and a TCA. She reports having continued severe diarrhea. The primary care NP should: refer to a gastroenterology for endoscopy A patient is given a diagnosis of peptic ulcer disease. A laboratory test confirms the presence of Helicobacter pylori. The primary care NP orders a proton pump inhibitor (PPI) before meals twice daily, clarithromycin, and amoxicillin. After 14 days of treatment, H. pyloriis still present. The NP should order: a PPI, amoxocillin, and metronidazole for 14 days The primary care NP sees a new patient who has diabetes and hypertension and has been taking a thiazide diuretic for 6 months. The patient's blood pressure at the beginning of treatment was 150/95 mm Hg. The blood pressure today is 138/85 mm Hg. The NP should: add an angiotensin-converting enzyme inhibitor