A 25-year-old client is seen in the emergency room for abdominal pain. The nurse obtains the following information from the health history: married, nulliparas, denies prescription or over-the-counter medications or use of oral or barrier contraceptives, pain is unilateral, last menses was one (1) month ago. What is the next best action of the nurse? […]

Joe L. a 65 year old male requests Viagra (PDE-5 Inhibitor) due to difficulties with erectile dysfunction. Past Medical History (PMH) includes: Angina, hypertension currently well controlled and Type 2 Diabetes Mellitus well controlled. Medication list includes Imdur (long-acting nitrate) 60 mg daily, sublingual Nitroglycerin 0.4mg (Nitrate) prn, metoprolol (Beta-blocker) 50mg twice daily, Lisinopril (ace […]

Joan J. is a 42 year-old female who presents to the clinic with heartburn. She has self-treated with over-the-counter Tums antacids for the past month without relief. She is interested in starting other therapy and indicates she would like something that “works fast as she will be traveling for business. You decide to step up […]

Mohamed H., age 37 years, tests positive for H. pylori. He has been experiencing mild to moderate upper abdominal pain, nausea and heartburn. You elect to treat him for 10-14 days. He has no mediation allergies. The most common therapy used is: • Triple therapy including a PPI, Amoxicillin (PCN) and clarithromycin (Macrolide) O Quadruple […]

Sheila B. age 30 presents to the clinic with complaint of classic migraine headache, which she describes as moderately severe. She first developed migraines in her teen years and they have worsened as she has gotten older. She has been using ibuprofen, aspirin, acetaminophen and aspirin plus caffeine 2 to 3 times per week for […]

Sarah W. has been using oral Imitrex (Sumatriptan) for management of migraine headaches. She reports nausea early in course of migraine, so doesn’t always take the Imitrex right away or breaks a tablet in half so it won’t upset her stomach. You are worried about treatment failure. All of the following are factors contributing to […]

The patient is a 47-year-old female who is at the clinic today. The patient reports only having 3 days left on all her medications. She states that she has no trouble giving herself injections, but she dislikes having to take so many pills. She would like to know if it would be possible to change […]

Vera age 68 years presents with concern for urinary frequency and occasional leakage. She is in relatively good health with mild hypertension, currently controlled and occasional constipation. You determine she does not have a urinary tract infection and decide to treat her for overactive bladder with an antimuscarinic agent, oxybutynin. Patient education should include: • […]

A 71-year-old woman presents with bilateral hip pain and stiffness that is worse on the right side. She reports this pain is the worst when she takes her afternoon walk and is typically most painful at the beginning of her walk. The pain usually dissipates while she relaxes when she returns home. Her medical history […]

A 5-month-old female infant presents to the clinic for increased irritability, drooling, and an elevated temperature reported by the mother. The infant has a temperature of 99.2°F in the office, and the clinician notes the bilateral tympanic membranes to be intact and pearly grey. However, the infant’s gums appear red and swollen. Which of the […]