An elderly patient who is taking a thiazide diuretic has been ill with nausea and vomiting and is brought to the emergency department for evaluation. An assessment reveals oliguria, hypotension, and tachycardia and serum sodium is 118 mEq/L. What is the treatment?

A homeless patient who has human immunodeficiency virus (HIV-1) infection has been on antiretroviral therapy (ART) for 18 months and has had normal CD4 counts and viral loads for past year. What will the provider recommend?

An adult patient who had pertussis immunizations as a child is exposed to pertussis and develops a runny nose, low-grade fever, and upper respiratory illness symptoms without a paroxysmal cough. What is recommended for this patient?

A 35-year old patient develops acute viral bronchitis. Which is the focus for the management of symptoms in this patient?

An adult develops chronic cough with episodes of wheezing and shortness of breath. The provider performs chest radiography and other tests and rules out infection, upper respiratory, and gastroesophageal causes. Which test will the provider order initially to evaluate the possibility of asthma as the cause of these symptoms?

A nonsmoking adult with a history of cardiovascular disease reports having a chronic cough without fever or upper airway symptoms. A chest radiograph is normal. What will the provider consider initially as the cause of this patient’s cough?

Which of the following prevention measures or therapies is most likely to retard an asthma exacerbation?

Which of the following groups of microorganisms is most likely responsible for pneumonia in adults?

Mr. Gentry is a 68-year-old male who presents to the clinic with chest congestion, fever of 101.8 degrees, WBC of 18,000 and productive cough.  Upon CXR, a lower basilar lobe infiltrate is seen. Mr. Gentry is a well-known patient to the clinic having been receiving treatment for hypertension, GERD, and COPD for 3 years.  What is the next course of action for the nurse practitioner?

Which of the following elements, in relation to the disease process of Asthma, is most prevalent in the Delta region this time of year?