A 70-year-old male reports urinary hesitancy, post-void drib…
A 70-year-old male reports urinary hesitancy, post-void dribbling, and a diminished urine stream. A digital rectal exam (DRE) reveals an enlarged prostate gland that feels rubbery and smooth. Which diagnostic tests will the APRN order based on these findings to rule out prostatitis?
Read DetailsProstatitis is a common problem in younger adult men. GU sy…
Prostatitis is a common problem in younger adult men. GU symptoms of acute bacterial prostatitis include hesitancy, frequency, urgency, nocturia, dysuria and a sensation of incomplete bladder emptying. Many patients with acute prostatitis are severely ill. First line antibiotic treatment options include:
Read DetailsTo make a diagnosis of hyperhidrosis a patient must have foc…
To make a diagnosis of hyperhidrosis a patient must have focal and visible sweating over a 6-month period of time and two of the following conditions. Which of the following statements would NOT be considered one of the acceptable criteria for the diagnosis of hyperhidrosis?
Read DetailsYour next patient is a 30-year-old pregnant woman reporting…
Your next patient is a 30-year-old pregnant woman reporting right upper quadrant abdominal pain, nausea, and vomiting for the past 2-3 days. Which diagnostic test will the APRN safely order to evaluate this patient’s symptoms?
Read DetailsA 72 year old patient is seen in clinic with a concern for d…
A 72 year old patient is seen in clinic with a concern for depressed mood. He has had depression in the past, which was successfully treated with paroxetine. He now reports sadness, lack of energy, feelings of helplessness and apathy. Past medical history is significant for depression (age 45), CAD, hypertension, and chronic kidney disease, stage 2. Medications include aspirin, metoprolol, lisinopril and atorvastatin. VSS, physical exam unremarkable. Which medication is recommended to treat this patient’s depression?
Read DetailsThe incidence of multi-drug resistant (MDR) organisms causin…
The incidence of multi-drug resistant (MDR) organisms causing UTIs is increasing along with mortality. Identifying risk factors for the development of MDR gram negative bacteria could have a big impact on patient care and management. Which of the following details of a patient’s history, occurring in the past 3 months, is NOT a risk factor for multi-drug resistant gram negative UTIs?
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