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Author Archives: Anonymous

A 68-year-old woman presents with complaints of difficulty f…

A 68-year-old woman presents with complaints of difficulty falling asleep over the past 3 months. She has a history of hypertension and osteoarthritis. Her medications include lisinopril and acetaminophen as needed. She denies alcohol or illicit drug use.  After discussing nonpharmacologic options, the nurse practitioner prescribes zolpidem 10 mg at bedtime as needed. At the end of the visit, the NP provides patient education about potential adverse effects. Which of the following is the MOST important instruction regarding a serious adverse effect of zolpidem?

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A patient with type 2 diabetes and heart failure would benef…

A patient with type 2 diabetes and heart failure would benefit most from:

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A 62-year-old female presents to the clinic for a routine fo…

A 62-year-old female presents to the clinic for a routine follow-up visit. Her past medical history is significant for hypertension and stable coronary artery disease (CAD). She reports that over the past 3–4 weeks she has noticed progressive swelling in both ankles and feet that worsens throughout the day and improves overnight. She denies chest pain, shortness of breath, orthopnea, paroxysmal nocturnal dyspnea, weight gain, or changes in urinary output. Her diet has been stable with no increase in sodium intake. On physical exam her lungs are clear with bilateral 2+ leg edema from mid calf to feet. Current Medications:Amlodipine 5 mg PO dailyClopidogrel 75 mg PO dailyMetoprolol succinate 75 mg PO daily Based on the clinical presentation and current medication list, which of the following is the most likely cause of this patient’s bilateral lower extremity edema?

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Which of these drugs is classified as an atypical antipsycho…

Which of these drugs is classified as an atypical antipsychotic?

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A patient starting semaglutide asks what side effect to expe…

A patient starting semaglutide asks what side effect to expect. The nurse practitioner advises the client to expect:

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An 82-year-old woman presents for a routine follow-up visit….

An 82-year-old woman presents for a routine follow-up visit. Her past medical history includes hypertension, type 2 diabetes, osteoarthritis, insomnia, urinary incontinence, GERD, and mild cognitive impairment. She reports increasing fatigue, constipation, dry mouth, occasional dizziness when standing, and two falls in the past 3 months. Her daughter states that the patient has become more forgetful and “seems groggy in the mornings.” Current medications: Metformin 500 mg twice daily Lisinopril 20 mg daily Amlodipine 10 mg daily Ibuprofen 600 mg three times daily as needed Diphenhydramine 50 mg nightly for sleep Oxybutynin 5 mg twice daily Omeprazole 20 mg daily (started 4 years ago after hospitalization) Lorazepam 1 mg nightly as needed for anxiety Which of the following is the best medication-related intervention to reduce this patient’s risk of adverse drug events?

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A 10-year-old boy with a history of generalized tonic-clonic…

A 10-year-old boy with a history of generalized tonic-clonic seizures presents for a follow-up visit. He was started on phenytoin 2 months ago, and his seizures have been well controlled. His mother asks the nurse practitioner what she should know about caring for her son while he is on this medication. Which of the following is the most important teaching point for the parent of this child?

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A patient is diagnosed with Helicobacter pylori infection fo…

A patient is diagnosed with Helicobacter pylori infection following endoscopic biopsy. The provider is selecting an appropriate eradication regimen. Which of the following combinations represents a standard, appropriate treatment regimen for H. pylori?

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What is a major adverse drug reaction with lorazepam?

What is a major adverse drug reaction with lorazepam?

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Which of the following information can NOT usually be obtain…

Which of the following information can NOT usually be obtained from the publisher of a test?

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