1
, “I should take this medication on a schedule for 2 to 3 days.”
“I will begin taking this 1 to 3 days before my period begins.”
“I will take this medicine every 4 to 6 hours as needed for pain.”
When treating primary dysmenorrhea, NSAIDs should be started 24 to 72 hours before
thepatient starts menstrual bleeding. The medication should be taken on a routine basis for 2
to 3days. It should not be taken during pregnancy
Question 5.5. A 60-year-old woman has a central dual-energy x-ray absorptiometry with a T-
score of 1.9. A health history reveals no risk factors for osteoporosis. The primary care NP
should: (Points : 2)
prescribe alendronate sodium (Fosamax).
counsel her to increase her physical activity.
prescribe calcitonin (Miacalcin nasal spray).
prescribe supplemental calcium and vitamin D.
This woman’s T-score is less than 2.5 and indicates osteoporosis. She should begin
treatmentwith a bisphosphonate. Increasing physical activity and taking supplemental calcium
andvitamin D are indicated as well but only as part of a medication regimen. Calcitonin is not
afirst-line medication.
Question 6.6. A 50-year-old white woman who is experiencing menopause asks the primary
care NP what she can do to prevent osteoporosis. She has a negative family history and no
risk factors. The NP should counsel her to: (Points : 2)
consider bisphosphonate therapy in 5 years.
undergo bone density testing every 2 years.
avoid high-impact sports that can lead to fractures.
take supplemental calcium and vitamin D every day.
Question 7.7. A patient has been taking an opioid analgesic for 2 weeks after a minor
outpatient procedure. At a follow-up clinic visit, the patient tells the primary care NP that he
took extra doses for the past 2 days because of increased pain and wants an early refill of the
medication. The NP should suspect: (Points : 2)
dependence.
drug addiction.
possible misuse.
increasing pain.
Unsanctioned dose increases are a sign of possible drug misuse. Dependence refers to
anabstinence or withdrawal syndrome. Drug addiction is an obsession with obtaining and
usingthe drug for nonmedical purposes. The patient should not have increased pain at 2
weeks.
, “I should take this medication on a schedule for 2 to 3 days.”
“I will begin taking this 1 to 3 days before my period begins.”
“I will take this medicine every 4 to 6 hours as needed for pain.”
When treating primary dysmenorrhea, NSAIDs should be started 24 to 72 hours before
thepatient starts menstrual bleeding. The medication should be taken on a routine basis for 2
to 3days. It should not be taken during pregnancy
Question 5.5. A 60-year-old woman has a central dual-energy x-ray absorptiometry with a T-
score of 1.9. A health history reveals no risk factors for osteoporosis. The primary care NP
should: (Points : 2)
prescribe alendronate sodium (Fosamax).
counsel her to increase her physical activity.
prescribe calcitonin (Miacalcin nasal spray).
prescribe supplemental calcium and vitamin D.
This woman’s T-score is less than 2.5 and indicates osteoporosis. She should begin
treatmentwith a bisphosphonate. Increasing physical activity and taking supplemental calcium
andvitamin D are indicated as well but only as part of a medication regimen. Calcitonin is not
afirst-line medication.
Question 6.6. A 50-year-old white woman who is experiencing menopause asks the primary
care NP what she can do to prevent osteoporosis. She has a negative family history and no
risk factors. The NP should counsel her to: (Points : 2)
consider bisphosphonate therapy in 5 years.
undergo bone density testing every 2 years.
avoid high-impact sports that can lead to fractures.
take supplemental calcium and vitamin D every day.
Question 7.7. A patient has been taking an opioid analgesic for 2 weeks after a minor
outpatient procedure. At a follow-up clinic visit, the patient tells the primary care NP that he
took extra doses for the past 2 days because of increased pain and wants an early refill of the
medication. The NP should suspect: (Points : 2)
dependence.
drug addiction.
possible misuse.
increasing pain.
Unsanctioned dose increases are a sign of possible drug misuse. Dependence refers to
anabstinence or withdrawal syndrome. Drug addiction is an obsession with obtaining and
usingthe drug for nonmedical purposes. The patient should not have increased pain at 2
weeks.
