Select the correct answer:    A 58-year-old adult with excess weight presents to the primary care nurse practitioner with complaints of intermittent swelling and discomfort in both lower extremities after a day of work. The patient is a store cashier and states that the discomfort is worse on work days which require more standing.  The following is observed on physical exam:    Based upon these findings, what recommendation by the primary care nurse practitioner is indicated?

Select the correct answer: The following thyroid function labs are obtained on a middle-aged adult during a routine annual physical: TSH           7.2 uIU/L Free T4      1.6 ng/dL Anti-TPO antibodies are positive. Other than complaints of periodic arthritic discomfort, the patient reports no physical complaints.  The physical exam is unremarkable. The primary care nurse practitioner should incorporate which of the following recommendations into the patient’s clinical management plan?

Select the correct answer:    A 55-year-old adult presents to the primary care nurse practitioner for follow-up for an annual wellness exam and review of laboratory test results after a 2-year lapse in care. The patient smokes 1/2 pack per day. The patient is currently using no regular prescription medicines.  The patient has no medication allergies or other chronic health problems. Current laboratory findings are diagnostic for prediabetes and hyperlipidemia. The nurse practitioner develops a health promotion plan inclusive of referral to a dietitian for self-management education and smoking cessation recommendations.  Which of the following interventions will most likely support successful smoking cessation? 

Choose the correct answer: A 60-year-old adult with a 15-year history of type 2 diabetes and co-existing coronary artery disease presents to the primary care nurse practitioner for diabetes follow-up. The patient reports fatigue and has noted urinary frequency. The patient is intermittently monitoring glucose. Current medications include: metformin (Glucophage) 1000mg bid dapagliflozin (Farxiga) 10 mg po daily semaglutide (Rybelsus) 7 mg po daily The patient has no known allergies.   The following labs were obtained last week. Chemistry: Glucose               330 mg/dL Sodium                138 mEq/L Potassium           4.7 mEq/L BUN                    27  mg/dL Creatinine           1.4 mg/dL A1c                        9.7% What, if any, adjustments to the clinical management are indicated at this time?   

Select the correct answer: A 67-year-old adult with a 50-year history of smoking and 10-year history of hypertension presents to the primary care nurse practitioner for a Welcome to Medicare visit. The patient has complaints of cramping leg pain when walking to the mailbox or grocery shopping. The pain intensity during this events is rated as 8 of 10.  Current medications:  hydrochlorothiazide 12.5 mg po daily. amlodipine (Norvasc) 5 mg po daily Vitals: 142/84 (smoked before visit); pulse 82 and regular; respirations 22 and regular; BMI 20.2 kg/m2 Physical exam:  General: alert and oriented; obvious smell of cigarette smoke. HEENT: AV nicking noted; carotids 2+ without bruit Cardiac: S1/S2, regular rate and rhythm Chest: barrel chested; breath sounds clear but diminished Abdomen: unremarkable; no bruit Extremities: Nails thickened, foot dry, skin shiny, no hair noted below the level of the knee. No edema in noted. Right leg is ruborous when dependent and shows pallor when elevated. Left leg shows pallor. Pedal pulses 1+.  Based upon these findings, which, of the following interventions should next be incorporated into this patient’s diagnostic/management plan by the nurse practitioner?

Match the membranes of the periosteum to the correct description

Which layer or tunic of the alimentary canal contains isolated lymphoid particles, part of MALT, that help to defend against bacteria and other pathogens. 

Which statements are true regarding Relationships and Joins across tables in Tableau? 

The pharynx and esophagus sole digestive system function is food propulsion

The data table connected to Tableau has Order Date and Sales columns. Based on the screen shots of the row and column shelves, pick all the correct statements from the options.  A:   B: