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Persons with an intact uterus should always be treated with both estrogen and progestin due to:

A 30-year-old caucasian biologic female has a BMI of 26 and weighs 150 lb. At an annual physical examination, the patient’s fasting plasma glucose is 130 mg/dL. The patient walks 1 mile three or four times weekly. She has had two children who weighed 7 lb and 8 lb at birth. Her personal and family histories are noncontributory. The ideal approach for the clinician to take would be to:

A biologic female patient has been taking a COCP and reports that, because of frequent changes in her work schedule, she has difficulty remembering to take her pills. The patient decides to change to a vaginal ring. The patient should be instructed to insert the ring:

What happens to the typical thyroid hormone replacement dose when an individual becomes pregnant?

A 67-year-old patient with type 2 diabetes mellitus (T2DM) is on glipizide and metformin. The patient presents to the clinic with confusion, sluggishness, and extreme thirst. The patient states they don’t follow the recommended meal plan or exercise regularly, and hasn’t checked their blood glucose for one week. A random glucose is drawn and it is 500. What is a likely diagnosis based on preliminary assessment?

A patient who has hypothyroidism has been taking levothyroxine 50 mcg daily for 1 month. The patient sends a message in the portal indicating they have taken every day, yet continue to experience fatigue. The provider’s response should be to:

A 45-year-old female patient with a history of anxiety disorder is prescribed alprazolam (Xanax) 0.5 mg orally. However, the pharmacy mistakenly dispensed Xanax 0.25 mg tablets. The nurse must administer the correct dose of 0.5 mg. How many tablets of Xanax 0.25 mg should the nurse give to the patient? Fill in the blanks and round your answer to the nearest whole number. 

You notice an abnormal lung sound when auscultating your patient’s lungs, but you aren’t sure if it’s rhonchi or crackles. What should you instruct your patient to do to help you determine which lung sound it is?

A mother brings her 3-month-old into the office for evaluation of a cold. She tells the nurse that her son has had a runny nose for a week. When performing the physical assessment, the nurse notes that the infant has nasal flaring and is using his accessory muscles when breathing. The nurse’s next action should be to: