A 41-year-old male has a history of intravenous drug use and…

A 41-year-old male has a history of intravenous drug use and sex with multiple persons. He comes to the clinic with fever, fatigue, abdominal pain, and jaundice. The NP orders laboratory studies and hepatitis studies. Which one of the following results indicate the patient is acutely infected with hepatitis B?

A patient with asthma was treated at a step 3 level with a d…

A patient with asthma was treated at a step 3 level with a daily medium dose inhaled corticosteroid (ICS) and long-acting beta agonist (LABA) and as needed short acting beta agonist (SABA). The patient presents a year later with no symptoms and an unremarkable physical exam. He reports that he is still using his ICS/LABA and has not had to use his SABA in 4 months because he has had no asthma flairs. He is out of his medications and is requesting refills. What is the NP’s next course of action?

A 30-year-old woman with a history of asthma presents to an…

A 30-year-old woman with a history of asthma presents to an outpatient clinic with worsening dyspnea over the last two weeks. After further questioning the NP discovers the patient’s symptoms worsened with the change of the weather (cold weather).  The patient is currently taking a fluticasone inhaled.   Based on the NP’s knowledge of the approach to asthma management what is the best treatment option?