Leik Exam Edge Fnp Review

A nurse practitioner working in a community health clinic sees a male patient who expresses concern about starting a homosexual relationship with a new partner. Which of the following is the best plan to follow during this visit? (Select all that apply.) Contact the patient's partner to schedule HIV testing Educate the patient about using barrier devices during sex Prescribe daily oral PrEP Draw a blood sample for a combination HIV antigen/antibody test Schedule a follow-up appointment in 1 month to review test results and discuss options for PrEP - Answer-Educate the patient about using barrier devices during sex; draw a blood sample for a combination HIV antigen/antibody test; schedule a follow-up appointment in 1 month to review test results and discuss options for PrEP Education on using barriers during sexual activity (e.g., condom/dental dams) is important. Daily oral preexposure prophylaxis (PrEP), such as tenofovir emtricitabine, is recommended for sexually active persons who are at risk for HIV. PrEP is used in HIV-negative persons, so the nurse practitioner must wait for the test results before prescribing. It is appropriate to schedule a 1-month follow-up to review the test results and discuss PrEP options (if test is negative). It is not appropriate ethically or legally to contact the partner; however, it would be appropriate for the patient to encourage his partner to get tested. An older adult male presents with complaints of sharp flank and back pain. The patient has difficulty answering questions because of severity of pain. Blood pressure is 90/60 mmHg. The patient has a 20-pack-year smoking history. Abdomen is distended upon palpitation. Which diagnosis is most likely? Congestive heart failure Infective endocarditis Dissecting abdominal aortic aneurysm Acute myocardial infarction - Answer-Dissecting abdominal aortic aneurysm. Dissecting abdominal aortic aneurysm is a sudden onset of severe, sharp, excruciating pain located in the abdomen, back, or flank area, accompanied by a distended abdomen and hypotension. Older male adults with a smoking history and hypertension are at higher risk. Congestive heart failure symptoms are dyspnea, fatigue, dry cough, and swollen feet and ankles. Patients with infective endocarditis present with fever, chills, and malaise, along with the presence of a new murmur. Acute myocardial infarction generally presents with a gradual onset of intense and heavy chest discomfort that feels like a squeezing, tightness, and heavy pressure in the chest. Mrs. Harris a 67-year-old woman who is in the early stages of Alzheimer disease. She suffers from mild dementia. In this type of Alzheimer dementia which of the following would you use as the mainstay treatment? Vitamin E 1000 IU twice daily cholinesterase inhibitors NSA