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A patient who is taking metronidazole calls the nurse to rep…

A patient who is taking metronidazole calls the nurse to report severe nausea and vomiting along with heart palpitations. What should the nurse do?

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You see a 34-year-old man with atopic dermatitis localized p…

You see a 34-year-old man with atopic dermatitis localized primarily on the arms who complains of severe itching. The condition becomes worse at night and interferes with his sleep. What do you recommend?

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Your client tells you that his nitroglycerin tablets give hi…

Your client tells you that his nitroglycerin tablets give him headaches.  What is your BEST response?

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A patient who uses an inhaled glucocorticoid medication repo…

A patient who uses an inhaled glucocorticoid medication reports having a sore tongue. The provider notes white spots on the patient’s tongue and oral mucous membranes. What should the provider teach the patient?

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NM is a 23-year-old white female with a history of exercise-…

NM is a 23-year-old white female with a history of exercise-induced asthma (EIA). She runs 7 days a week, on a year-round basis. The EIA affects her only during her runs. What is the best therapy for EIA?

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A patient has been taking an opioid analgesic for 2 weeks af…

A patient has been taking an opioid analgesic for 2 weeks after a minor outpatient procedure. At a follow-up clinic visit, the patient tells the primary care NP that he took extra doses for the past 2 days because of increased pain and wants an early refill of the medication. What should the NP suspect?

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A 56 y/o man diagnosed with a MRSA infection reports that he…

A 56 y/o man diagnosed with a MRSA infection reports that he has never “not finished” an antibiotic and has always followed the instructions.  Why is he now experiencing antibiotic resistance?

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A 22-year-old woman taking a 35-mcg ethinyl estradiol combin…

A 22-year-old woman taking a 35-mcg ethinyl estradiol combined oral contraceptive calls after forgetting to take her pills for 2 consecutive days. She is 2 weeks into the pack. What should you advise her to do?

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A nurse is caring for a patient that has emphysema. Which ac…

A nurse is caring for a patient that has emphysema. Which acid/base imbalance is the patient MOST likely to have?

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A patient reports having an acute onset of low back pain ass…

A patient reports having an acute onset of low back pain associated with lifting a heavy object the day before. Besides advising the patient to rest and apply ice, what should the primary care NP prescribe?

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