A patient has NSAID-induced ulcer and has started taking ranitidine (Zantac). At a follow-up appointment 3 days later, the patient reports no alleviation of symptoms. The primary care NP should:
a. order cimetidine (Tagamet).
b. add metronidazole to the drug regimen.
c. change from ranitidine to omeprazole (Prilosec).
d. reassure the patient that drug effects take several weeks.
C
If the patient does not start to see improvement within a few days after initiation of treatment with a histamine-2 blocker, the provider either should increase the dose of the medication or should change to a PPI. Cimetidine is a histamine-2 blocker and has many serious side effects. Metronidazole is used only when H. pylori is known to be present. Patients should start to get relief within a few days.
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A patient is admitted to the Mental Illness and Chemical Abuse unit. The patient has been placed on a 1:1. After reviewing the client's progress notes, the nurse notes that the admission was voluntary. The nurse would expect which of the following:
A. The patient will be angry at being forced to be on the unit. B. The patient was given an informed consent. C. The patient may not leave the unit without a court order. D. The patient's wife has signed the consent form for admission.
The nurse is providing education to a group of dermatology nurses. The nurse asks the group, "Which antibiotic is frequently ordered to treat moderate to severe acne?" Select the nurses' correct response
a. Amoxicillin b. Minocycline (Minocin) c. Azithromycin (Zithromax) d. Tretinoin (Retin-A)
A semiprivate room contains four beds
Indicate whether the statement is true or false
A patient states, "I feel detached and weird all the time. It's as though I'm looking at life through a cloudy window. Everything seems unreal. It really messes up things at work and school."
This presentation is most consistent with the DSM-IV-TR criteria for: a. depersonalization disorder. b. body dysmorphic disorder. c. dissociative amnesia. d. malingering.