The nurse practitioner evaluates a 36 y/o female who present…
The nurse practitioner evaluates a 36 y/o female who presents to the clinic interested in starting on combination ethinyl estradiol-norgestimate oral contraceptive therapy. A thorough evaluation of the patient’s social history should include documentation of what risk factor linked to worsening cardiovascular disease; especially in combination with contraceptive treatment?
Read DetailsA 38 y/o female is being treated by her dermatologist for pl…
A 38 y/o female is being treated by her dermatologist for plaque psoriasis. She is new to the clinic and your medical assistant completed her medication history. The following medications were recorded: tazarotene (Tazorac) 0.1 % cream daily methotrexate 7.5 mg daily triamcinolone 0.1 % ointment twice daily colloidal oatmeal bath (Aveeno soothing bath treatment) three times weekly. Which medication is transcribed incorrectly by the medical assistant and should be questioned by the nurse practitioner?
Read DetailsAn oncology patient is scheduled to receive an intrathecal m…
An oncology patient is scheduled to receive an intrathecal methotrexate injection (into the cerebrospinal fluid in the spinal cord). The nurse practitioner working with the radiology department is asked by the interventional radiologist when the last dose of enoxaparin (Lovenox) was. Why is the interventional radiologist concerned about the last dose of enoxaparin?
Read DetailsThe nurse practitioner evaluates a 55 y/o type 2 diabetic ma…
The nurse practitioner evaluates a 55 y/o type 2 diabetic male in the office today. His last hemoglobin A1C was 8.1. His only current diabetic medication is metformin XR 1000 mg twice daily. He expresses interest in weight loss and a healthy diet. Which add-on option does the nurse practitioner consider to treat his diabetes and assist with weight loss with a mechanism of action of slowing gastric emptying?
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