Author: Anonymous

A 62-year-old woman with chronic constipation is started on psyllium 5 g twice daily. She asks the nurse practitioner how she should take this medication. Which of the following instructions is MOST important to include in patient counseling?

Which of these drugs is classified as an atypical antipsychotic?

A nurse practitioner is counseling a patient who smokes 25 cigarettes per day. Which evidence-based regimen would have the best effectiveness for smoking cessation?

An 18-year-old woman with asthma is started on formoterol twice daily. She reports improved breathing but continues to have intermittent wheezing and nighttime symptoms. According to GINA guidelines, what is missing from her regimen?

A 42-year-old woman with generalized anxiety disorder is being started on lorazepam 0.5 mg twice daily. She has a history of mild hepatic impairment (Child-Pugh A), social alcohol use (2–3 glasses of wine on weekends), and takes omeprazole 20 mg daily for GERD. During medication counseling, which of the following instructions is most critical for the nurse practitioner to prioritize?

Your client who is taking lithium for bipolar disorder is admitted to the hospital with an infection.  What would be a consideration regarding use of ibuprofen for fever in this client?

A 58-year-old man with newly diagnosed HFrEF (LVEF 30%) is started on sacubitril/valsartan, carvedilol, empagliflozin, and furosemide. Which essential GDMT drug class is MISSING from this regimen?

A 32-year-old woman presents to the clinic for a routine prenatal visit. She is at 8 weeks gestation by last menstrual period, confirmed by ultrasound. Her past medical history is significant for chronic hypertension, for which she has been taking lisinopril 10 mg daily for the past 3 years. Her blood pressure today is 138/86 mmHg. She reports no headaches, visual changes, or edema. Labs from her first prenatal visit are unremarkable, including a normal basic metabolic panel and urinalysis without proteinuria. What is the most appropriate next step in the management of this patient’s antihypertensive therapy?

The nurse practitioner starts a 45 year old client on levothyroxine for newly diagnosed hypothyroidism. The client calls 5 days later stating she still feels fatigued and asks whether the dose can be increased. Which response is most appropriate?

A 58-year-old woman presents to the clinic for a routine follow-up. She has a history of hypertension, osteoarthritis of both knees, and type 2 diabetes mellitus. Today her blood pressure is 158/94 mmHg (previously well-controlled at 128/78 mmHg three months ago) and heart rate: 72 bpm.  She reports good adherence to all medications and denies any dietary changes, increased salt intake, or new stressors. She denies headache, visual changes, or chest pain. Her current medications include: Losartan 100 mg daily Amlodipine 5 mg daily Metformin 1,000 mg twice daily Ibuprofen 600 mg three times daily (started 6 weeks ago by her orthopedist for knee pain) Which of the following is the most appropriate next step in managing this patient’s elevated blood pressure?