A 77-year-old woman presents to your clinic concerned with a left foot ulcer.  She has mild pain that is relieved with elevation of her leg. Physical exam findings: ulcer is located on the medial malleolus Irregular border and a pink granulation tissue base Discoloration of the lower legs, darker than the surrounding skin What is the most likely cause of this patient’s foot ulcer?

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A patient has just received a prescription for fluticasone/salmeterol [Advair Diskus] which is a dry-powder inhaler (DPI). What will the nurse include as part of the teaching for this patient about the use of this device?

A 7-year-old child with asthma uses a daily inhaled glucocorticoid and an albuterol MDI as needed. The provider has added montelukast [Singulair] to the child’s regimen. Which statement by the child’s parent indicates understanding of this medication? (select all that apply)

A patient admitted to the hospital with a diagnosis of pneumonia asks the nurse, “Why am I receiving codeine? I don’t have any pain.” The nurse’s response is based on the knowledge that codeine also has which effect?

A patient who uses an inhaled glucocorticoid for chronic asthma calls the nurse to report hoarseness. What will the nurse do?

Guidelines from USPFT, American College of Surgeons and CDC recommend screening high-risk smokers for lung cancer beginning at age:

The nurse anticipates giving propofol [Diprivan] to a patient who is undergoing mechanical ventilation. Which is an expected outcome for this medication?

Adolf Hitler’s main goal in World War II was:

A nurse is teaching a group of nursing students about the different formulations of beta2-adrenergic agonist medications. Which statement by a student indicates understanding of the teaching?