Obesity : Contraindication Discussion

Obesity : Contraindication Discussion

Obesity : Contraindication Discussion

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Week 5 Assignment 2 Quiz 1. Question : Jake, a forty-five-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with intramuscular (IM) long-acting haloperidol. Besides being monitored for his schizophrenia symptoms, the patient should be assessed by his primary care provider: For excessive weight loss With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidal symptoms (EPS) symptoms Monthly for tolerance to the haloperidol Only by the mental health provider as most nurse practitioners in primary care do not care for mentally ill patients Question 2 Sarah, a forty-two-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include understanding that: Obesity is a contraindication to prescribing phentermine. Anorexiants may cause tolerance and should only be prescribed for six months. Patients should be monitored for postural hypotension. Renal function should be monitored closely while the patient is on anorexiants. Question 3. Cara is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes reminding her: To not abruptly discontinue levetiracetam due to the risk of withdrawal seizures To wear a sunscreen due to photosensitivity from levetiracetam To get an annual eye exam while on levetiracetam To report weight loss if it occurs Question 4. A nineteen-year-old male was started on risperidone. Monitoring for risperidone includes observing for common side effects, including: Bradykinesia, akathisia, and agitation Excessive weight gain Hypertension Potentially fatal agranulocytosis Question 5. Prior to starting antidepressants, patients should have laboratory testing to rule out: Hypothyroidism Anemia Diabetes mellitus Low estrogen levels Question 6. An appropriate first-line drug to try for mild to moderate generalized anxiety disorder would be: Alprazolam (Xanax) Diazepam (Valium) Buspirone (Buspar) Amitriptyline (Elavil)

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