A 71-year-old man returns for follow-up of benign prostatic hyperplasia (BPH). He has been taking tamsulosin 0.4 mg daily for the past six months with only mild improvement in urinary hesitancy, weak stream, and nocturia. Digital rectal examination reveals a symmetrically enlarged prostate, and ultrasound estimates the prostate volume at 55 mL. There is no evidence of urinary tract infection or prostate cancer. What is the most appropriate next step in management?

Which of the following patients should undergo one-time screening for abdominal aortic aneurysm with abdominal ultrasonography?

Which common side effects should the nurse warn a patient about when starting anticholinergic therapy?  Select all that apply.

Match the skin disorder with the manifestations.

A 55-year-old woman presents with severe right upper quadrant pain that began four hours after eating a cheeseburger. She reports nausea but no vomiting. Temperature is 100.2°F (37.9°C). On examination she has focal right upper quadrant tenderness. Which additional physical examination finding would most strongly increase your suspicion for acute cholecystitis?

A 34-year-old woman presents with a 2-month history of intermittent burning epigastric pain. The discomfort frequently awakens her during the night but typically improves after she eats a small snack. She denies weight loss, dysphagia, hematemesis, melena, or regular nonsteroidal anti-inflammatory drug use. Her vital signs and abdominal examination are unremarkable. Based on her presentation, which diagnosis should be highest on the family nurse practitioner’s differential diagnosis?

Match the disorders of visual function with clinical manifestations.

Which findings support a possible diagnosis of obstructive sleep apnea (OSA)?

The nurse measures orthostatic vital signs. Lying BP: 138/78 Standing BP after 3 minutes: 114/66 The client reports dizziness. How should the nurse interpret these findings?

An 82-year-old adult tells the nurse, “I spend less time worrying about possessions and more time appreciating nature and reflecting on my life.” This statement is most consistent with which concept?