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A patient with a history of gouty arthritis presents to the clinic with acute pain and swelling of the right great toe. The only medication the patient is currently taking is clarithromycin for the treatment of an acute sinus infection. Taken together, the PCP should prescribe:

A woman who began taking a combination oral contraceptive (COC) 2 months ago calls the primary care provider to report breakthrough bleeding after approximately 24 days while taking the pill. What should the primary care provider advise this patient?

A family of an adolescent patient taking phentermine/topiramate extended release over the last month for weight loss is experiencing palpitations, anxiety, insomnia, and dry mouth. What action should the primary care provider take at this time?

A patient newly diagnosed with depression has decided to trial St. John’s Wort first before trying other pharmacologic methods. The RN ensures to educate the patient about which of the following?

A client presents to the emergency department with facial and chest burns from a house fire. What should be the nurse’s priority action?

A nurse is reviewing contraceptive options with four clients. Which client is at greatest risk for complications if she takes oral contraceptives with estrogen?

The client has nitroprusside infusing at 0.4 mcg/kg/min. The medication concentration is 50 mg in 250 mL. The client weighs 80 kg. How many mL/hr is the client receiving?  ________________ (Round to the nearest tenth.)

The QRS complex on a client’s electrocardiogram (ECG) measures 0.16 seconds. What does this clinical finding indicate?

Identify this cardiac rate and rhythm. _______________________________  

A client is suspected of having disseminated intravascular coagulation (DIC). Which laboratory findings would the nurse expect? (Select all that apply.)