Cyndi, a  35 yo female patient (NKDA) presents to your offic…

Cyndi, a  35 yo female patient (NKDA) presents to your office for assessment of  six thickened toenails located on her right and left feet that she noticed beginning 1 year ago. Greater than 75% of each nail is affected.  She has tried applying tea tree oil daily on her toenails for two months with no improvement.  The Nurse Practitioner diagnoses her with  onychomycosis. What is the first line treatment for her condition?

Mary is a 55-year-old patient who reports palpitations, nerv…

Mary is a 55-year-old patient who reports palpitations, nervousness and hair loss over the past few months.. The primary care NP orders thyroid function tests. The tests show TSH is decreased and T4 is increased. The NP should arrange consultation with an endocrinologist and begin:

Mr. Tidd has benign prostatic hypertrophy (BPH), in whom pro…

Mr. Tidd has benign prostatic hypertrophy (BPH), in whom prostate carcinoma has been ruled out, asks the primary care nurse practitioner (NP) about beginning drug therapy to treat his symptoms. The NP notes that he consistently has blood pressure readings around 145/90 mm Hg. The NP should prescribe:

Sally is being seen for follow up this spring, she reports w…

Sally is being seen for follow up this spring, she reports wheezing, itchy watery eyes, sneezing, and runny nose with onset two weeks ago. She restarted her Beclomethosone Inhaler (beclovent), 42 mcg, 2 puffs daily and Albuterol 2 puffs prn. She has had to use her albuterol daily for the last few days. The primary care NP determines Sally has moderate persistent asthma and exacerbation of her allergic rhinitis based on daily symptoms. She does not do peak flows.Based on the asthma guidelines the Primary Care NP recommends the following as the BEST treatment plan for Sally asthma today: