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Select the correct answer: A middle-aged adult presents to the primary care nurse practitioner for evaluation of “heartburn” symptoms after meals. Symptoms have been present for about the past two months but “came and went” in the past based upon meal composition. The discomfort is worse when lying down or when eating late. The patient’s partner has made comments describing halitosis and that a dentist has noticed some wearing on the tooth enamel. The patient has noticed worsening of asthma symptoms in the past several months.  Which of the following first-line treatments should be incorporated into the clinical management plan of this patient?

Question 5: a. Identify the fifth lung sound. b. Indicate when you hear the lung sound in the respiratory cycle. 

Question 4: a. Identify the fourth lung sound. b. Indicate when you hear the lung sound in the respiratory cycle. 

Select the correct answer:    A 55-year-old adult presents to the primary care nurse practitioner for follow-up for an annual wellness exam and review of laboratory test results after a 2-year lapse in care. The patient smokes 1/2 pack per day. The patient is currently using no regular prescription medicines.  The patient has no medication allergies or other chronic health problems. Current laboratory findings are diagnostic for prediabetes and hyperlipidemia. The nurse practitioner develops a health promotion plan inclusive of referral to a dietitian for self-management education and smoking cessation recommendations.  Which of the following interventions will most likely support successful smoking cessation? 

Select the correct answer: A 67-year-old adult with a 50-year history of smoking and 10-year history of hypertension presents to the primary care nurse practitioner for a Welcome to Medicare visit. The patient has complaints of cramping leg pain when walking to the mailbox or grocery shopping. The pain intensity during this events is rated as 8 of 10.  Current medications:  hydrochlorothiazide 12.5 mg po daily. amlodipine (Norvasc) 5 mg po daily Vitals: 142/84 (smoked before visit); pulse 82 and regular; respirations 22 and regular; BMI 20.2 kg/m2 Physical exam:  General: alert and oriented; obvious smell of cigarette smoke. HEENT: AV nicking noted; carotids 2+ without bruit Cardiac: S1/S2, regular rate and rhythm Chest: barrel chested; breath sounds clear but diminished Abdomen: unremarkable; no bruit Extremities: Nails thickened, foot dry, skin shiny, no hair noted below the level of the knee. No edema in noted. Right leg is ruborous when dependent and shows pallor when elevated. Left leg shows pallor. Pedal pulses 1+.  Based upon these findings, which, of the following interventions should next be incorporated into this patient’s diagnostic/management plan by the nurse practitioner?

A patient arrives to the clinical with reports of “stomach pain.” When asked to point to the area of pain she points to just below the last right intercostal region. You ask her questions concerning the quality of her pain. She states that it comes and goes, occurring mainly at night. Upon palpation she reports pain the right hypochondriac region with a positive Murphy’s sign. Which digestive organ may be the source of her pain referral?

Write in the correct blood supply for the following organs as either being served by the “celiac” trunk or “mesenteric” arteries. Spelling counts, type either “celiac” or “mesenteric” appropriately.   Spleen [bloodysupply1] Small Intestine [bloodsupply2] Large Intestine [bloodsupply3] Liver [bloodsupply4] Stomach [bloodsupply5]

Label each organ as “alimentary” or “accessory.” Spelling counts. mouth[organ1] tongue[mouth2] pharynx[mouth3] esophagus[mouth4] gallbladder[mouth5] pancreas[mouth6]

Which statements are true regarding Relationships and Joins across tables in Tableau? 

The pharynx and esophagus sole digestive system function is food propulsion