The primary care NP performs a physical examination on an 89-year-old patient who is about to enter a skilled nursing facility. The patient reports having had chickenpox as a child. The NP should:
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The New York Heart Association and the Canadian Cardiovascul…
The New York Heart Association and the Canadian Cardiovascular Society have described grading criteria for levels of angina. Angina that occurs with unusually strenuous activity or on walking or climbing stair after meals is class:
An African-American patient who is obese, but no other co-mo…
An African-American patient who is obese, but no other co-morbid conditions, has persistent blood pressure readings greater than 150/95 mm Hg despite treatment with a thiazide diuretic. The primary care NP should consider prescribing a(n):
A 22 year-old veterinary student presents to your office due…
A 22 year-old veterinary student presents to your office due to hair loss. On exam, you notice a bald patch with some scaling and crusting. You know that the treatment of Tinea Capitis requires:
Sherry age 19 comes to the clinic with the complaint of vagi…
Sherry age 19 comes to the clinic with the complaint of vaginal discharge & odor and wants to be tested for STDs. After the exam and lab results are evaluated, she has Chlamydia. She has NKA. After providing education regarding condom use the NP prescribes:
Kate is a 16-year-old patient who reports feeling hopeless a…
Kate is a 16-year-old patient who reports feeling hopeless and sad. Kate’s parent reports increased aggression and a decline in school performance. After a thorough history and physical exam the NP should consider prescribing:
A 5-year-old child who has no previous history of otitis med…
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…
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 th…
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 furose…
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: