A patient states that there was a deer tick crawling on her about a month ago. She was sick with a what she thinks was a cold about a week ago and is now concerned that she has contracted Lyme Disease. The nurse practitioner gets the following results from the serology studies: Western blot IGG and IGM show all bands as negative or non-reactive. The nurse practitioner correctly offers the following information:

A construction worker with a history of Raynaud’s phenomena and migraines presents to the clinic with marked color changes and tingling on both hands after prolonged use of the jackhammer. Vital signs are: 142/78, HR 68, Resp 12, temp 97.0. Medications include metoprolol tartrate (Lopressor) 100 mg BID for migraine prevention, and aspirin 81 mg 1 daily. What will the nurse practitioner do? 

An elderly patient with a history of previous transient ischemic attacks (TIA) presents with confusion. A sensitive neurological test for stroke would be?

An elderly patient has a permanent loss of the sense of smell and diminished taste. What will be included in teaching this patient about managing these symptoms?

A 35 y/o obese male presents to the clinic with complaints of fatigue, headaches throughout the day which are worse in the morning, wakes frequently during the night with a choking sensation, and daytime somnolence.  Blood pressure is 168/98 (retaken three times while he was in an upright position with feet flat on the floor), 02 sat is 98%, and assessment reveals no abnormalities. You suspect his symptoms are related to:

When creating treatment and education plans for adult patients with asthma, the nurse practitioner would?

You are assessing a 87 y/o female who has bilateral lower edema. The conditions that need to assessed include: (Select all that apply)

A patient felt a “pop” in their knee while straining to pull a large weed out of the garden. The knee is painful, swollen and tender over the patellar area and the patient feels that knee may “give out”. What is the potential diagnosis?

A patient is beginning treatment for chronic pain and is unable to tolerate nonsteroidal anti-inflammatory drugs. What will the provider prescribe for this patient?

A 49-year-old patient with diabetes mellitus type 2 and hypertension returns for lab results from last week. LDL is 132, HDL is 31, and triglycerides are 210. Per the 2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease, what treatment should the nurse practitioner initiate?