Select the correct answer: A 64-year-old adult presents to t…
Select the correct answer: A 64-year-old adult presents to the primary care nurse practitioner with complaints of daily pain in the right foot. The pain begins at the heal and radiates to the arch of the foot when the patient is walking. The patient reports that the symptoms are worse when first applying pressure to the foot after a period of rest, such as when getting out of bed in the morning or up from a chair after a period of sitting. The pain began when the patient was breaking in a new pair of sneakers that had a problematic fit. On physical exam, the NP observes no obvious defects to the foot. The patient does have increased pain with forced dorsiflexion. What initial recommendations are appropriate for this patient?
Read DetailsSelect the correct answer: A young adult adult with a prior…
Select the correct answer: A young adult adult with a prior history of migraine headache presents to a walk-in clinic with complaints of “the worse headache of my life”. The patient reports this headache did not follow the usual pattern of migraines which usually accompany a menstrual period. This headache is worse than prior headaches and was not preceded by an aura. The patient rates the headache as a 10/10. Examination of the patient reveals the following finding and similar finding in the contralateral eye: What actions by the nurse practitioner are indicated at this time?
Read DetailsSelect the correct answer: A young adult with a 2-year-hist…
Select the correct answer: A young adult with a 2-year-history of type 1 diabetes managed with insulin pump therapy presents for a wellness exam. During the course of the exam, the patient reports symptoms of abdominal discomfort that is associated with bloating for the past 6-12 months. The symptoms are accompanied by increased flatulence. Stools have an oily appearance. The patient has not noted bloody stools. The patient also reports blister-like skin lesions that are itchy on the hands, arms, and abdomen. The patient experienced an unintentional weight loss of 10 pounds over the past 2 months and feels constantly fatigued. Physical exam reveals a thin, frail-looking adult. Abdominal distention is noted on exam and slightly hyperactive bowel sounds. The abdomen has generalized tenderness. Herpatic-like lesions are noted on her hands, arms and abdomen. Lab findings show a evidence of a hypochromic, microcytic anemia. While addressing dietary considerations associated with diabetes, what other clinical recommendations should be provided to this patient?
Read DetailsHeterozygous advantage allows the harmful sickle cell allele…
Heterozygous advantage allows the harmful sickle cell allele to remain in the human population instead of being selected against. (That allele causes sickle cell disease.) Which of the following genotypes represents an individual that will not have sickle cell disease and also will will have a better chance of surviving if exposed to Malaria? H = the dominant sickle cell allele (not mutated) h = the recessive sickle cell allele (mutant allele that can cause sickle cell disease)
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