A woman with IBS has been taking antispasmodic medications and reports some relief, but she tells the primary care NP that the disease is interfering with her ability to work because of increased pain. The NP should consider prescribing:
a. alosetron (Lotronex).
b. misoprostol (Cytotec).
c. simethicone (Phazyme).
d. tricyclic antidepressants (TCAs).
D
TCAs and selective serotonin reuptake inhibitors (SSRIs) have been shown to reduce symptoms and are useful for long-term treatment. Alosetron is ordered by a GI specialist if symptoms are resistant to all other interventions and has been shown to be effective in women with diarrhea-predominant IBS. Misoprostol is used to treat NSAID-induced ulcers. Simethicone acts locally to treat symptoms of trapped air and gas.
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A nurse is speaking to the family of a 65-year-old Latino woman. To whom should the nurse address most of the conversation to keeping in mind cultural considerations?
a. 66-year-old husband b. Entire family, in general c. 42-year-old daughter (oldest child) d. 40-year-old son (only son)
A nurse is providing home care to a client. What safety guideline should the nurse follow during home visits?
A) Carry a fully charged cell phone. B) Run in the other direction if a family dog seems aggressive. C) Wear a badge with the full name. D) Give the family members your residence phone number.
Which statement by the patient about an upcoming contrast computed tomography (CT) scan indicates a need for further teaching?
a. "I will follow the food and drink restrictions as directed before the test is scheduled." b. "I will be anesthetized so that I lie perfectly still during the procedure." c. "I will complete my bowel prep program the night before the scan." d. "I will be drinking a lot of fluid after the test is over."
Homeopathic products do not interact with drugs due to
a. the lack of any actually active ingredient. b. the active ingredient being highly diluted. c. natural products never interacting with drugs. d. inactivation of the natural substance by the body.