Select the correct answer: A middle-aged adult presents to…

Select the correct answer: A middle-aged adult presents to a primary care nurse practitioner with an acute onset of several episodes of vertigo and tinnitus, associated with new-onset of hearing loss in the right ear. The initial episode lasted 2 hours and a subsequent episode recurred one week later. The patient’s physical exam in the office is unremarkable. Which of the following diagnostics should be incorporated into the work-up of this patient? 

Select the correct answer: During an annual wellness exam,…

Select the correct answer: During an annual wellness exam, a 68-year-old adult informs a primary care nurse practitioner of a recent onset of headaches which began several months prior to the visit. The patient states the headaches are increasing in frequency and severity. The patient has experienced episodes of balance disturbances during this time resulting several near falls. The patient has a prior history of migraine headache as a young adult, but reports no migraine days since completing menopause at 52-years-of-age.   Which of the following should be integrated into the management plan for this patient? 

Select the correct answer:    A 64-year-old adult with a 2-m…

Select the correct answer:    A 64-year-old adult with a 2-month history of hypertension presents for a follow-up visit. The patient has a 5-year history of type 2 diabetes. The patient-provided home blood pressure log show systolic values of 116-128 mmHg and diastolic values of 68-78 mm/Hg. The patient confirms taking medications as prescribed but has noted a persistent cough since starting medications to treat hypertension. Past medical history is positive for 5-year history of type 2 diabetes.    The patient reports no allergies to medications.  Current prescribed medications are:  Hydrochlorothiazide (Diuril) 12.5mg po daily Quinapril (Accupril) 10 mg po daily Metformin (Glucophage) 1000mg daily Dulaglutide (Trulicity) 0.75 mg subcutaneously weekly Labs: drawn 1  week age: chemistry pane within normal limits; A1C 6.3%   Vitals: B/P 142/88, pulse 68 beats/min; respiration 14; weight 143 lb; height 60 inches; BMI 27.9 kg/m2.  Physical exam is within normal limits.   Which of the following interventions is priority for this patient?