Sarah is a 32-year-old female with chronic low back pain secondary to a herniated disc. She experiences flare ups of this pain with increased physical activity. She is currently taking NSAIDs and undergoes physical therapy; however, during exacerbations of her pain, this is not providing adequate relief. She presents to your clinic with a sudden onset of low back pain, which she describes as sharp and radiating down her left leg. The pain is interfering with her daily activity and ability to sleep. An assessment is performed and there are no neurological findings. What is the appropriate indication to prescribe a short-acting opioid?

An 87-year-old male with end-stage heart failure is hospitalized for a CHF exacerbation. He expresses that he’s experiencing a dull, achy pain to his right hip at a level 3 out of 10 on the pain scale. He shares that this pain is chronic for him. Which should be the initial order by the provider?

What is true regarding the required staffing ratio for nursing homes? (Select all that apply)

Mrs. Johnson is an 80-year-old woman with limited literacy skills who has difficulty understanding written healthcare instructions. What is the most appropriate action for the nurse practitioner to take to optimize Mrs. Johnson’s understanding of her care plan?

A 93-year-old patient with end-stage kidney disease and severe dementia is experiencing frequent severe pain. The patient has difficulty swallowing. Which of the following interventions is most appropriate for managing pain in this patient?

A 60-year-old male presents with a painful, grouped vesicular rash that follows the dermatomal distribution on the right side of his chest. He reports experiencing tingling and burning sensations prior to the appearance of the rash. Based on these findings, which of the following skin disorders is the most likely diagnosis?

Ms. Rodriguez is an older adult with limited literacy skills who needs to understand her recent lab test results. What is the most appropriate approach for the nurse practitioner to communicate the results effectively?

Which assessment tool is commonly used to evaluate functional decline in older adults?

What is the appropriate response for the APRN when an anxious 73-year-old immigrant smoker expresses her preference to remain unaware of a potential lung cancer diagnosis, despite presenting symptoms, a chest X-ray showing a 4 cm lung nodule, and the APRN’s recommendation for a lung biopsy for further evaluation?

Which of the following is important to consider when seeing a patient with a recent TIA?