Blog

A 5-year-old child who has no previous history of otitis media is seen in clinic with a temperature of 100° F. The primary care NP visualizes bilateral erythematous, nonbulging, intact tympanic membranes. The child is taking fluids well and is playing with toys in the examination room. The NP should:

Caleb has asthma, he reports having wheezing and coughing 1 or 2 days each week and awakening from sleep three or four times each month with asthma symptoms. The patient’s forced expiratory volume in 1 second (FEV1) is 80% of the predicted value. The patient’s current medication regimen is an albuterol metered-dose inhaler, 2 puffs every 4 hours as needed. The next medication the NP should prescribe is:

You receive the results of the bone density for a patient that shows osteoporosis with a Bone mineral density (BMD) T-score of – 2.5 (Negative 2.5). What is the best  first line therapy for a patient if she is unable to take HRT?

A patient who has heart failure has been treated with furosemide and an ACE inhibitor. The patient’s cardiologist has added digoxin to the patient’s medication regimen. The primary care NP who cares for this patient should expect to monitor:

Geographic tongue should be treated:

Elaine, 45 years old, reports a 2-week history of nasal congestion and runny nose. The NP performs a history and learns that the nasal discharge has changed from yellow to green in the past few days, accompanied by a fever of 102° F and unilateral facial pain. To treat this patient, the NP should:

Rational drug selection includes all of the following except:

David age 54 with a history of gouty arthritis comes to the clinic with acute pain and swelling of the great toe. The patient is not currently taking any medications. The primary care NP should prescribe:

Intra oral nevi most commonly occur on the?

Louise, a 50 year old patient with diabetes type II is scheduled for a CT scan with iodine based contrast medium.  The NP should provide the following education and instructions for Louise: