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You have diagnosed an 17-year-old male patient with acne and prescribed benzoyl peroxide lotion and clindamycin 1% gel.   He returns to the  clinic  for follow up 4 weeks later, complaining that his skin is “no better”.   Your next action is to:

An older patient experiences a herpes zoster outbreak and asks you, the APRN, if she is contagious. She is planning to be around her grandchild who is too young to be immunized for varicella. What will you, the APRN, say to her?

Hair loss is a disturbing and highly emotional issue for many patients.  Alopecia areata and androgenetic alopecia are classified under causes of non-cicatricial alopecia (non-scarring).  Which of the following is a true statement regarding non-cicatricial alopecia?

The atopic triad is a set of comorbid conditions that have a wide range of environmental factors such as contact allergens, stress, food, skin flora, and humidity.  Patients with atopic triad are sensitive to their environment.  Which of the following diseases is NOT included in the atopic triad?

Prostatitis is a common problem in younger adult men.  GU symptoms of acute bacterial prostatitis include hesitancy, frequency, urgency, nocturia, dysuria and a sensation of incomplete bladder emptying. Many patients with acute prostatitis are severely ill.  First line antibiotic treatment options include:

One week after starting sertraline (Zoloft), your patient complains of a new-onset recurrent, dull, frontal headache that is relieved promptly with acetaminophen. Which of the following is true in this situation?

An 80-year-old patient is being evaluated in the long-term care facility for concerns over a one-day history of malodorous and dark-appearing urine. The patient is not complaining of dysuria, increased urinary urgency or frequency, fever, or chills. Her baseline long term cognitive status has been “confusion” and she requires assistance with feeding.  PMHx: Hypertension, moderate stage Alzheimer dementiaShe was recently hospitalized due to weakness and a fall.Medications: hydrochlorothiazide 25 mg daily, donepezil 10 mg each evening. Her VS are within normal limitsPhysical examination:General: Alert but confused older womanSkin:  Mucous membranes are dryCardiac: RRR, S1S2 without murmur, ectopy or S3 or S4Pulmonary: bilaterally clear breath sounds without wheezes, crackles or rhonchiAbdominal: non-tender, BS present in all 4 quadrants, no hepatomegaly notedGU: reddened and dry labial tissues and no abnormal discharge or bleeding What is the best response to the nurse regarding her concerns of the patient’s dark and malodorous urine?

A 66-year-old man undergoing chemotherapy for lung cancer asks about the use of medical marijuana to help relieve symptoms of pain and nausea.  The APRN considers:

A 76-year-old patient presents to the clinic with a 3 day history of painful urination and a sensation that she has to constantly urinate. Her past medical history includes: CAD, hypertension and depression.  Medications:  ASA, atorvastatin, hydrochlorothiazide and lisinopril  VSS  PE:  Well groomed female in no acute distress Cardiovascular exam:  S1S2, RRR, no S3, murmur or ectopy Pulmonary exam: BS clear bil, without wheezes, crackles or rhonchi Abdominal exam:  soft, non-distended, mild suprapubic tendersness. Pelvic exam deffered at this time.  Neuro exam:  CN 2-12 intact  Which of the following questions is most pertinent to this patient’s presentation?

Using a shared decision making model with your patient, you have decided to treat her anxiety with a medication. Which of the following is a true statement regarding medication management for anxiety for this patient?