Which of the following is a contraindication to the use of spironolactone?

NJ is receiving 40 mg po morphine/day.  You wish to convert him to po oxycodone (Oxy IR).  Which of the following regimens is the best recommendation for this patient?   Assume a 25% reduction for incomplete cross tolerance.  The following conversions are provided for you:   Drug IV (mg) Oral (mg) Morphine 10 30 Oxycodone N/A 20

A 68-year-old female presents to the clinic with complaints of chronic knee pain exacerbated by movement and weight-bearing activities. She reports a history of osteoarthritis (OA) and states that she has been using acetaminophen as needed for pain relief. Recent evidence indicates that acetaminophen monotherapy is ineffective or only modestly better than placebo for long-term OA treatment in most individuals. However, acetaminophen is still considered appropriate for short-term or episodic use in individuals who cannot tolerate or have contraindications to NSAID use. How should the nurse practitioner advise the patient regarding the use of acetaminophen for her OA pain?

Identify the most appropriate monitoring parameter to assess response to antimicrobial therapy.

Which medication is considered to be the drug of choice for children with acute otitis media? Assume no drug allergies or recent antibiotic therapy.

Josina is a 65 yo AA woman who presents to clinic feeling tired for the last 3 months.  She is able to complete some light housework and cook her dinners, but she has difficulty breathing when doing more activity such as grocery shopping and walking up stairs.  She sleeps on 2 pillows at night to help with her breathing. PMH:  Heart failure with reduced ejection fraction (class III, stage C) HTN, arthritis. Physical exam: Edema of her feet and ankles (2+) with some crackles noted in the lungs on inspiration Medications:  HCTZ (Hydrodiuril*) 12.5mg daily, and ibuprofen (Motrin* / Advil*) 200mg BID for arthritis in knee. Vitals:  height 5’2″, 63kg, BP 134/84, HR 78, EF 35% per echocardiogram.  Which of the following is most appropriate regarding diuretic therapy for Josina?

Which of the following is an appropriate nonpharmacologic intervention for gout?

Which of the following medication (s) is a xanthine oxidase inhibitor and can therefore be beneficial in hyperuricemia?

Kern, 72-year-old male presented at the hospital complaining of severe pain in his left leg, shortness of breath, and pleuritic type chest pain following a long drive from Connecticut to Florida with minimal stopping. The patient had a history of pulmonary embolism, degenerative joint disease, and previously was a chronic smoker. His vital signs were: temperature 38.4 °C, pulse 98 bpm, respiratory rate 20 breaths per minute, and blood pressure 138/90 mm Hg. Basic metabolic panel and complete blood count values were within the normal range. Kern is  diagnosed with a new DVT. Kern is given an appropriate loading dose (bolus) of heparin (Half-Life ≈ 1.5 hrs) and started on a heparin infusion at an initial rate of 18 units/kg/hr. Six hours after starting the initial infusion, Kern’s aPTT is 37 seconds. (Institution-specific therapeutic range is 46-70 seconds). What should be done?

HP is a 73 yo female who brought to the ED with altered mental status, but is unable to reliably describe any other symptoms. Urinalysis would demonstrate cloudy colored urine, (+) for  RBCs, WBCs, nitrites as well as leukocyte esterases.  Her culture shows >100,000 bacteria in the urine.  TRUE or FALSE:  You would treat this patient for a urinary tract infection (UTI).