Exam 29: Antidiarrheals

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A patient who has experienced five to seven liquid stools for 3 days is seen in the clinic by the primary care NP.The patient reports having had fever,mucoid stools,and nausea without vomiting.The patient has been drinking Gatorade to stay hydrated.The NP obtains a stool specimen for culture and should prescribe:

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C

A patient comes to the clinic with a 4-day history of 10 to 12 liquid stools each day.The patient reports seeing blood and mucus in the stools.The patient has had nausea but no vomiting.The primary care NP notes a temperature of 37.9° C,a heart rate of 96 beats per minute,and a blood pressure of 90/60 mm Hg.A physical examination reveals dry oral mucous membranes and capillary refill of 4 seconds.The NP's priority should be to:

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B

A patient has been taking antibiotics to treat recurrent pneumonia.The patient is in the clinic after having diarrhea for 5 days with six to seven liquid stools each day.The primary care NP should:

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B

A patient who has had four to five liquid stools per day for 4 days is seen by the primary care NP.The patient asks about medications to stop the diarrhea.The NP tells the patient that antidiarrheal medications are:

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A 12-year-old patient has acute diarrhea and an upper respiratory infection.Other family members have had similar symptoms,which have resolved.The primary care NP should recommend:

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A 2-year-old child has chronic "toddler's" diarrhea,which has an unknown but benign etiology.The child's parent asks the primary care NP if a medication can be used to treat the child's symptoms.The NP should recommend giving:

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A woman who is 4 months pregnant comes to the clinic with acute diarrhea and nausea.Her husband is experiencing similar symptoms.The primary care nurse practitioner (NP)notes a temperature of 38.5° C,a heart rate of 92 beats per minute,and a blood pressure of 100/60 mm Hg.The NP should:

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