A 65 year old man was just started on dyslipidemia medication because he had a very low HDL. He is complaining that since he started the medication he experiences facial flushing and mild itching. which medication is he most likely taking?

A 50 y/o woman was started on a medication for her blood pressure.  A few months later she returns complaining of mild bilateral ankle swelling but no other complaints.  She has no past medical history other than hypertension. What is the most likely cause of her ankle edema?

Ms. Jones urinalysis reveals a bacteria count of 105 colony forming units/ml . She is asymptomatic. The next course of action is to:

A women’s husband attempted suicide 3 months prior. She is expressing a lot of concern pertaining to how to communicate with him and she would like advice.  Which of the following would be the best advice the NP could provide the wife on how to communicate with her husband when he expresses negative feelings?

Linda, a 60-year-old woman, is admitted for severe depression. She has been started on an SSRI.  Which statement by Linda indicates a need for further teaching?  

A woman would like to start hormone replacement therapy for hot flashes. She has never had surgery or medical problems. Which is the most appropriate therapy?

A 50 year old woman with type 2 diabetes  returns for an office visit to review her cholesterol panel values.  Her 10 year ASCVD is 3%.  The following are the results: Total cholesterol: 190 mg/dl (reference range norm < 200mg/dl);    LDL:  160 mg/dl (reference range optimal < 100 mg/dl);   HDL 50mg/dl (reference range > 50mg/dl);  Triglycerides:  170 mg/dl (reference range < 150mg/dl)  Potassium, BUN/Creatinine and LFT's are WNL. Based on these results the NP would initiate therapeutic lifestyle changes and:

A man is complaining of left shoulder pain.  The NP suspects a rotator cuff tear.  Which finding would indicate a likely significant tear?

Mrs. Patel is a 45 year old woman that presents with persistant dry cough that has lasted over 9 weeks. She denies smoking, has no history of asthma or resent respiratory infections, and is not taking any ACE inhibitors. She reports occasional heartburn and a sour taste in her mouth, especially at night. Her chest x-ray is normal, and she has no s/s of infection. What is the likely cause of Mrs. Patel’s cough?

A nurse is caring for a patient with chronic back pain who reports pain of 8/10. The patient is sitting in bed talking with a visitor, laughing intermittently, and has a heart rate of 78/min and blood pressure of 124/76 mm Hg. The patient requests the prescribed PRN pain medication. Which action by the nurse is most appropriate?