A patient with mild to moderate osteoarthritis pain has been taking acetaminophen for pain. The primary care NP prescribes a nonselective NSAID. At a follow-up visit, the patient reports mild GI side effects. The NP should:
a. order misoprostol to take with the NSAID.
b. discontinue the NSAID and order tramadol.
c. change the medication to a COX-2 inhibitor.
d. change the medication to naproxen (Naprosyn).
A
If the patient experiences GI distress, coadministration of histamine-2 blockers, proton pump inhibitors, or misoprostol may be considered. Tramadol is used for severe pain. A COX-2 inhibitor is generally used for long-term therapy. Naproxen is another nonselective NSAID and would likely have similar GI side effects.
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When engaging in a therapeutic relationship with a client diagnosed with a dissociative disorder, it is important to use stimuli that stimulate pleasant memories and pleasurable feelings for the client. Why?
A) Stops the regression of the client into further self-destructive behaviors B) Develops a contract between the client and the staff for dealing with self-destructive behaviors C) Assists the client to remember past experiences without the risk of precipitating increased trauma D) Helps the client to understand that periods of imbalance are to be expected and will decrease as the personal identity is restored
The nurse is providing education to a group of postmenopausal women on all aspects of hormone therapy
To evaluate understanding among the group, the nurse asks, "Which of the following symptoms should you report to your health care provider after beginning hormone therapy?" The correct response is a. breast tenderness. b. weight gain. c. increased appetite. d. dysfunctional uterine bleeding.
A person with burns over 55% of his or her body has a stress factor of 2. This means that he or she requires:
1. Two grams of protein per kilogram of body weight 2. Two times as much fat intake as usual 3. 200% of the usual resting energy expenditure 4. 110 kilocalories per pound of body weight
First-line therapy for a patient with acute otitis externa (swimmer's ear) and an intact tympanic membrane includes:
1. Swim-Ear drops 2. Ciprofloxacin and hydrocortisone drops 3. Amoxicillin 4. Gentamicin ophthalmic drops