Lukejaydenpro

Claudia is a 36-year-old mother of two G2P2, she recently delivered her last child 9 months ago, and has been using condoms for birth control for the last 7 months. Today she is requesting a more reliable birth control, she is not sure of her current pregnancy plans, however, she does not wish to discuss sterilization. No religious contraindications for treatment. Previous methods include condoms, and oral contraceptive pills. She thought about an IUD but is concerned her husband may feel it dur...

Question: Patient presents with a complaint of vaginal discharge that when tested meets the criteria for bacterial vaginosis. Treatment of bacterial vaginosis in nonpregnant symptomatic women would be Question: The medroxyprogesterone (Depo Provera) injection has a Black Box Warning due to Question: Premenstrual dysphoric disorder (PMDD) occurs in a fairly small number of patients. Theories of the pathology behind PMDD that are supported in research include Question: Factors common in women t...

John Smith 12/12/1969 needs a prescription for anxiety you decide to prescribe him an SSRI. Which one will you prescribe? What dose will you start him on and how often do you want him to take it. He will need to stay on it for two months with no refills. He lives at 567 Mills Lane Palmdale, CA 93550. Today’s date is Feb 11, 2016 NPI 2

uestion: Ranolazine is … in angina patients to Question: Antacids treat gastroesophageal reflux disease by: Question: Your patient has type 2 diabetes and a high triglyceride level. She has gemfibrozil prescribed to treat her hypertriglyceridemia. A history of which of the following might contraindicate the use of this drug? Question: Joanne is a 60-year-old patient with an LDL of 132 and a family history of coronary artery disease. She has already tried diet changes (increased fiber and pl...

Question. (2 pts): Osteopenia is diagnosed in a 55-year-old woman who has not had a period in 15 months. She has a positive family history of breast cancer. The primary care NP should recommend: Question. (2 pts): A woman is in her first trimester of pregnancy. She tells the primary care nurse practitioner (NP) that she continues to have severe morning sickness on a daily basis. The NP notes a weight loss of 1 pound from her previous visit 2 weeks prior. The NP should consult an obstetrician an...

Which of the following … shown to prolong life in patients with chronic congestive failure in spite of having a negative inotropic effect on cardiac contractility? Which of the following statements gives the best explanation for the use beta-blockers in congestive heart failure? — molecular mechanism of action of digoxin (Lanoxin, Cardoxin) used in the management of congestive heart failure? Which of the following is an aldosterone antagonist and is useful in the management of hypertensiv...

Question: A patient who has primary hyperlipidemia and who takes atorvastatin (Lipitor) continues to have LDL cholesterol of 140 mg/dL after 3 months of therapy. The primary care NP increases the dose from 10 mg daily to 20 mg daily. The patient reports headache and dizziness a few weeks after the dose increase. The NP should: Question: A patient who has hyperlipidemia has been taking atorvastatin (Lipitor) 60 mg daily for 6 months. The patient’s initial lipid profile showed LDL of 180 mg/dL,...

Variant 1: Maria is a 46-year-old woman who presents for her yearly physical examination. Her medical history is notable for borderline hypertension and moderate obesity. Six months ago, her fasting lipid profile was normal. Maria report that her mother and brother have diabetes and hypertension. She reports that she knows she should be on a low calorie, low fat diet and exercising but with her full time job and four children, she finds it difficult to exercise, and she eats out most of the time...

Purpose The purpose of this assignment is to enhance the student’s clinical reasoning, confidence and learning of multiple pharmacological agents through facilitated discussion. Description In Week 6, you will create a PowerPoint Grand Rounds presentation on the topic assigned to you by the faculty member. Requirements : In Week 6, create a PowerPoint presentation related to a common condition in primary care. Your professor will assign you the condition that you are to present. I...

David a 54 yo Caucasian male went to his primary care providers office for his yearly physical. The nurse came in and took Davids vitals. His blood pressure was 150/92, HR 75, RR 16, 98 kg. His blood pressure was repeated 2 times five minutes apart and the systolic pressure remained <150 and diastolic <90. While discussing the elevated blood pressure, David mentioned to the practitioner that he has … having dizzy spells and headaches off and on for the past 5 months. David works three jo...

Purpose: The purpose of this assignment is to enhance the student’s clinical reasoning, confidence and learning of multiple pharmacological agents through facilitated discussion. Description: In Week 6, you will create a PowerPoint Grand Rounds presentation on the topic assigned (Parkinson’s Disease) to you by the faculty member. In Week 7, you will lead a discussion based on your presentation as well as interact with peers in discussions related to their Grand Rounds presentations. ...

On December 12, 2011 Connie’s daughter Shannon Davis (10/12/1997) has Asthma she needs a three week course of tapering dose of prednisone. She needs 40 mg per day for one week then, 20 mg per day for one week then, 10 mg per day for one week. It comes in 10 mg she should get no refills her address is 444 W. Peachtree Street, Atlanta, GA 55911 NPI 2

Factors that place a patient at risk of developing an antimicrobial-resistant organism include: Infants and young children are at higher risk of developing antibiotic-resistant infections due to: Providers should use an antibiogram when prescribing. An antibiogram is: There is often cross-sensitivity and cross-resistance between penicillins and cephalosporins because: Jonathan has been … with strep throat and needs a prescription for an antibiotic. He says the last time he had penicillin he de...

Erik presents with one golden-crusted lesion at the site of an insect bite consistent with impetigo. His parents have limited finances and request the least expensive-treatment. Which medication would … the best choice for treatment? Juakeem is a nasal methicillin resistant staphylococcus aureus (MRSA) carrier. Treatment to eradicate nasal MRSA is mupirocin. Patient education regarding treating nasal MRSA includes: Instructions for applying a topical antibiotic or antiviral ointment include: W...

Men who use transdermal testosterone gel (AndroGel) should … advised to avoid: Education when prescribing androgens to male patients includes advising that: Patients who are … exogenous androgens need to … warned that decreased libido: The U.S. Food and Drug Administration warns that androgens may cause: Monitoring for a patient who is using androgens includes evaluation of: Male patients require __ before and during androgen therapy. Absolute contraindications to estrogen therapy include:...

Both men and women experience bone loss with aging. The bones most likely to demonstrate significant loss are: Bisphosphonates treat or prevent osteoporosis by: Prophylactic use of bisphosphonates is recommended for patients with early osteopenia related to long-term use of which of the following drugs? Patients with cystic fibrosis are often prescribed enzyme replacement for pancreatic secretions. Each replacement drug has lipase, protease, and amylase components, but the drug is prescribed in ...

Many patients self-medicate with antacids. Which patients should … counseled to not take calcium carbonate antacids without discussing it with their provider or a pharmacist first? Patients taking antacids should … educated regarding these drugs, including letting them know that: Kelly has diarrhea and is wondering if she can take loperamide (Imodium) for the diarrhea. Loperamide: Bismuth subsalicylate (Pepto Bismol) is a common OTC remedy for gastrointestinal complaints. Bismuth subsalicyla...

Kenneth is taking warfarin and is asking about what he can take for minor aches and pains. The best recommendation is: Juanita had a deep vein thrombosis (DVT) and was on heparin in the hospital and was discharged on warfarin. She asks her primary care provider NP why she was getting both medications while in the hospital. The best response is to: The safest drug to use to treat pregnant women who require anticoagulant therapy is: The average starting dose of warfarin is 5 mg daily. Higher doses...

Digoxin levels need to … monitored closely when the following medication is started: Patients with pheochromocytoma should avoid which of the following classes of drugs because of the possibility of developing hypertensive crisis? Harold, a 42-year-old African American, has moderate persistent asthma. Which of the following asthma medications should … used cautiously, if at all? Long-acting beta-agonists (LTBAs) received a Black Box Warning from the U.S. Food and Drug Administration due to t...