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Author Archives: Anonymous

A patient has been prescribed fluticasone for persistent ast…

A patient has been prescribed fluticasone for persistent asthma. Which patient education should the NP provide?

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A 19-year-old patient is newly diagnosed with type 1 diabete…

A 19-year-old patient is newly diagnosed with type 1 diabetes mellitus. Which pharmacologic treatment is essential for this patient?

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A 30-year-old woman is leaving on a cruise tomorrow and requ…

A 30-year-old woman is leaving on a cruise tomorrow and requests medication to prevent motion sickness while remaining alert. Which medication should the NP recommend?

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A 72-year-old man reports taking diphenhydramine as needed f…

A 72-year-old man reports taking diphenhydramine as needed for seasonal allergies. According to the American Geriatrics Society (AGS) Beers Criteria, the nurse practitioner should monitor this patient most closely for which adverse effect?

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A patient with mild ulcerative colitis has achieved remissio…

A patient with mild ulcerative colitis has achieved remission. Which medication is preferred for maintenance therapy?

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A 26-year-old nonpregnant woman presents with dysuria, urina…

A 26-year-old nonpregnant woman presents with dysuria, urinary frequency, and urgency. She is afebrile and denies flank pain, nausea, or vomiting. She has no significant medical history, has not received antibiotics within the previous six months, and has no known medication allergies. Acute uncomplicated cystitis is diagnosed. Which antibiotic is an appropriate first-line pharmacologic treatment?

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A 24-year-old female is diagnosed with uncomplicated Chlamyd…

A 24-year-old female is diagnosed with uncomplicated Chlamydia trachomatis infection. She reports that her sexual partner refuses to seek medical evaluation because he is embarrassed but is willing to take medication if it is prescribed. The nurse practitioner is practicing in Tennessee. Based on current Tennessee regulations regarding Expedited Partner Therapy (EPT), what is the most appropriate management of the patient’s partner?

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A 68-year-old man with heart failure with reduced ejection f…

A 68-year-old man with heart failure with reduced ejection fraction (EF 35%) presents for routine follow-up. Which medication has been shown to reduce mortality and is considered guideline-directed medical therapy?

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A 48-year-old patient presents with persistent epigastric pa…

A 48-year-old patient presents with persistent epigastric pain and dyspepsia. Testing confirms Helicobacter pylori infection. The patient has not previously received treatment for H. pylori, and antibiotic susceptibility is unknown. Which of the following is the MOST appropriate empiric first-line eradication regimen?

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A 68-year-old woman presents within 36 hours of developing f…

A 68-year-old woman presents within 36 hours of developing fever, myalgias, headache, and cough. Influenza testing is positive. Which medication is most appropriate?

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