You are a nurse practitioner seeing a 5-month-old child for an… You are a nurse practitio

You are a nurse practitioner seeing a 5-month-old child for an… You are a nurse practitioner seeing a 5-month-old child for an emergency room follow-up visit for otitis media.  She is on day 4 of 10 on Amoxicillin.  The parents report that they have no health insurance.  The child’s current immunization is as follow: Dose 1 Dose 2 Dose 3 Dose 4 Hep B Birth 2 MOS Rotavirus 2 MO DTap 2 MO HIB 2 MO PCV 13 2 MO IPV 2MO FLU MMR VAR HEP A… Show moreQuestion 1:  Should you administer vaccine to a child who is taking antibiotics? Question 2: If the patient has moderate or severe acute illness (regardless of antibiotic use), should they receive vaccination during your office visit?  Question 3: How many vaccines can be given during an office visit? A 60-year-old postmenopausal female presents to your office with concerns about osteoporosis.  A review of her medical history shows a bone density T-score of -1.8 from 2 years ago, suggesting moderate osteopenia.  As you review her medical record, you note that last year she had lipids measured which were: total cholesterol of 210 mg/dL, LDL 140 mg/dL and HDL 45 mg/dL, and triglycerides 125 mg/dL. She had a partial thyroidectomy 15 years ago and currently takes levothyroxine 88 µg/day.She then asks you about her cholesterol levels and whether taking soy would be helpful.  A friend told her that older women should take soy to prevent heart disease, breast cancer, osteoporosis, basically, they told her soy will help her to cheat death.Which of the following is appropriate to tell this patient?A) Soy isoflavone supplements are preferred for reducing lipidlevelsB) Dietary soy protein is not associated with a reduced risk ofdeveloping heart disease in Western womenC) Soy protein is as effective as a statin for lowering cholesterolD) Soy isoflavones are an acceptable alternative to calcium andvitamin D for preventing osteoporosisYour patient is hoping you can settle a bet.  She asks about her younger sister who is going through “the change” (quarters, nickels, pennies …) and started taking black cohosh.  Her sister swears the black cohosh helps her hot flashes, but your patient thinks it’s “all in her head.”Regarding the use of black cohosh for the treatment of perimenopausal vasomotor symptoms, you tell her:A) Black cohosh is equivalent to hormone replacement therapyB) Black cohosh is equivalent to placeboC) Black cohosh is not good for vasomotor symptoms but doespromote liver healthD) Black cohosh is only effective when taken as part of a multibotanicalsupplementWhich of the following natural products could be recommended for lowering LDL cholesterol?A) Fish oilB) PsylliumC) GarlicD) Policosanol (a drug derived from sugar cane)E) All of the abovePlease provide rationales for your selected answer choices Health Science Science Nursing NURSING MSN 571 Share QuestionEmailCopy link Comments (0)

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