You would advise a patient who is on a MAOI (monoamine oxidase inhibitor) prescription to avoid taking one of the following drugs because of increased potential for a serious reaction. Which of the following is this drug
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You would advise a patient who is on a MAOI (monoamine oxidase inhibitor) prescription to avoid taking one of the following drugs because of increased potential for a serious reaction. Which of the following is this drug?
A) Alprazolam (Xanax)
B) Fluoxetine (Prozac)
C) Erythromycin (E-mycin)
D) Amoxicillin (Amoxil) - Answer>>> B) Fluoxetine (Prozac)
Patients taking MAOIs should not also take SSRIs (Prozac), due to the possibility of developing serotonin syndrome. This causes excessive serotonin release in the brain, which will cause symptoms of severe anx- iety, restlessness, confusion, and muscle twitching. If not stopped, the patient may develop muscle contractions, renal failure, respiratory failure, coma, and even death.
Mrs. Green, age 45, is complaining of generalized morning stiffness, especially in both her wrist and hands. It is much worse in the morning and lasts for a few hours. She also complains of fatigue and generalized body aches that have been present for the past few months. Which of the following is most likely?
A) Osteoporosis
B) Rheumatoid arthritis
C) Osteoarthritis
D) Gout - Answer>>> B) Rheumatoid arthritis
Signs and symptoms of rheumatoid arthritis include symmetrical joint stiffness, swelling, and pain in the hands, wrists, elbows, ankles, and shoulders. Other common complaints include fatigue, malaise, fever, and generalized body aches.
Mary Walker is a 16-year-old who presents in the clinic for a physical exam. She tells the triage nurse that she would like contraception as well. How should the nurse practitioner proceed?
A) Refuse to see the patient until consent can be obtained from her parent or legal guardian
B) Perform a physical exam and discuss contraceptive options
C) Speak with the patient about contraception and have her obtain parental consent for the physical exam
D) Have the nurse discuss contraception with the patient - Answer>>> C) Speak with the patient about contraception and have her obtain parental consent for the physical exam
In the United States, state laws and policies may vary regarding contraceptive counseling and treatment for anyone under the age of 18 years. It is required that you be familiar with the state laws. In all states, anyone under the age of 18 years must have parental consent for the physical exam.
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