,The nurse practitioner prescribes amitriptyline (Elavil) for a patient with neuropathic pain secondary to
diabetes mellitus. On follow-up, the patient complains of urine retention and dry mouth. The
practitioner would:
1. discontinue amitriptyline and begin ibuprofen (Motrin).
2. refer to physical therapy.
3. start methocarbamol (Robaxin).
4. discontinue amitriptyline and begin gabapentin (Neurontin). - **CORRECT
ANSWER**discontinue amitriptyline and begin gabapentin (neurontin)
A 17-year-old male with rheumatoid arthritis is being treated with an NSAID and omeprazole (Prilosec).
The patient complains of headache, abdominal pain, and gas. These symptoms are most likely:
1. associated with the omeprazole.
2. related to the underlying condition.
3. the result of the NSAID.
4. caused by viral gastroenteritis. - **CORRECT ANSWER**associated with the omeprazole
The medication of choice for the initial treatment of juvenile rheumatoid arthritis is:
, 1. acetaminophen.
2. prednisone.
3. aspirin.
4. ibuprofen. - **CORRECT ANSWER**ibuprofen
A 12-year-old with sickle cell anemia has recently experienced a sickle cell crisis and presents for
a follow-up examination after a recent hospitalization. It is most important to continue
monitoring growth, development, and:
1. white blood cell levels.
2. fecal occult blood test.
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