During a digital rectal exam (DRE) on a 75 year old man, the APRN suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?
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A patient presents for follow up after a hemorrhagic stroke….
A patient presents for follow up after a hemorrhagic stroke. Which hypertension medications are NOT considered first line for this patient?
A patient with a history of nonvalvular atrial fibrillation…
A patient with a history of nonvalvular atrial fibrillation presents as a new patient to your clinic. They have been out of all medications for months since they lost their insurance coverage but just recently started on a new insurance. The patient cannot recall which medications they were taking but they do remember they were not made to have frequent laboratory draws. What is the likely medication they were taking as possible treatment of atrial fibrillation?
A 70 year-old male with a long history of COPD presents with…
A 70 year-old male with a long history of COPD presents with a change in sputum over the past few days. He reports an increased amount of thick, dark green mucous, dyspnea, and congestion. Which would be the most appropriate treatment?
A patient presents with pain above the penis, difficulty sta…
A patient presents with pain above the penis, difficulty starting urine stream, and burning with urination for the past few weeks. He also says he experiences pain after he orgasms. He has a history of acute prostatitis 5 months ago but that pain resolved and this is not as painful. He denies fever or other symptoms. His urine shows a few wbcs. How would you manage this patient?
The clinician recognizes the new gold standard for treatment…
The clinician recognizes the new gold standard for treatment of moderate persistent asthma in the adult patient would include:
A 78-year-old male presents to his primary care physician wi…
A 78-year-old male presents to his primary care physician with complaints of intermittent dysuria, weak urinary stream, and straining to urinate for the past four months. There is no weight loss, fever or change in stools. He has no known family history of cancer. His past medical history is notable for HTN. On examination, he is well-appearing. There are no abdominal or rectal masses appreciated; the prostate is firm, smooth and symmetrically enlarged. Urinalysis reveals negative leukocyte esterase, negative nitrite, trace blood and no bacteria on microscopy. Which of the following is the most appropriate treatment?
While assessing your patient, you gently scrape the sole of…
While assessing your patient, you gently scrape the sole of the foot with a blunt-pointed object. You note plantar flexion of the toes and record this response as
A nurse provides education to a group of people about eye he…
A nurse provides education to a group of people about eye health care. Which statements by group indicate that the teaching has been understood? Select all that apply.
A nurse reviews a medical record of a patient who has had a…
A nurse reviews a medical record of a patient who has had a stroke and notes that the medication route has been changed from parenteral to oral. Before administering the oral medications, which cranial nerves should the nurse assess?