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The nurse practitioner is evaluating a 30-year-old client with a chief complaint of intermittent “itchy hives over my chest and arms.” The client denies difficulty swallowing or breathing, but reports a family history of allergic rhinitis and asthma. Which of the following would be the next best step in evaluating the client?

When should prostate screening begin in select client populations? 

When assessing an elderly adult with active infection, what associated findings may be likely in this client population? 

The nurse practitioner is evaluating a client with rheumatoid arthritis for a new diagnosis of anemia.  What mechanism contributes to the development of anemia of chronic disease in individuals with inflammatory disorders? 

The nurse practitioner is evaluating labs on a client who presented 3 days prior for the complaint of new-onset fatigue and decreased appetite with mild nausea. The client’s past medical history includes hypertension and hyperlipidemia. The client is a smoker and drinks 2-3 alcoholic drinks per day. Current medications include an ACE inhibitor and statin.  On the physical examination, the client had a normal cardiovascular and respiratory exam. Bowel sounds were present x4 quadrants, there was mild abdominal distension but no guarding or rigidity and no palpable organomegaly.  Lab results are as follows: Hgb 10.6 g/dL (reference 12.5-15.1), MCV 126 fL (reference 80-100), RDW 13% (reference 11.5-14.5), Platelet count 65,000 mm3 (reference 150,000-400,000), WBC 3,900 mm3 (reference 4,500-10,000) with a normal differential.  What determination does the NP make regarding the client’s lab results? 

From which causative organism does infectious mononucleosis arise? 

When considering a client’s complaint of “muscle pain” with no specific injury, which condition should the NP recognize as the most common cause of generalized musculoskeletal pain in women ages 20 to 55?

The nurse practitioner is referring a couple who are attempting to conceive, to genetic counseling. The mother and father both have beta thalassemia minor/trait with a mild, microcytic hypochromic anemia. Considering that each parent will contribute 1 beta-globin gene, what is the possibility with each pregnancy, the offspring will have beta-thalassemia major, a severe microcytic anemia?   

The NP is evaluating a 17-year-old boy in the clinic who reports he has been “feeling something” on his left scrotum. On examination and palpation of the scrotum, soft and movable blood vessels that feel like a “bag of worms” are noted underneath the scrotal skin. The testicle is not swollen or reddened. What diagnosis should the NP suspect? 

The nurse practitioner is seeing a client with BPH for follow-up after being prescribed finasteride (Proscar) six months earlier.  For which medication side effect should the client be assessed?