A 42-year-old woman with generalized anxiety disorder is bei…

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?

A 32-year-old woman presents to the clinic for a routine pre…

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?

A 58-year-old woman presents to the clinic for a routine fol…

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?