An asymptomatic pregnant woman has positive leukocyte esterase and positive nitrites on a urine dipstick screening. What will the APRN do next?

Your next patient is a 62-year-old man. He informs you that he has been experiencing epigastric pain and a sharp, burning, aching, gnawing pain 2-3 hours after eating.  He has had two episodes of vomiting in the past two days. He describes the vomit as containing mostly gastric secretions that look like coffee grounds. What diagnosis does this symptom suggest?

Your next patient is a 30-year-old pregnant woman reporting right upper quadrant abdominal pain, nausea, and vomiting for the past 2-3 days. Which diagnostic test will the APRN safely order to evaluate this patient’s symptoms?

Cholelithiasis (gallstones) are caused by hardened deposits of bile and increased cholesterol secretions. Some people are more prone to the development of cholelithiasis (gallstones) than other people.  Which of the following is NOT considered a common risk factor for cholelithiasis (gallstone) formation?

Cholelithiasis and cholecystitis are worldwide disorders that result from inflammatory, infectious, neoplastic, metabolic, and congenital conditions. Which of following statements is NOT true regarding cholecystitis?

A 63-year-old male patient has intermittent left-sided lower abdominal pain and fever associated with bloating and constipation alternating with diarrhea. The APRN suspects this patient may have:

Your next patient presents with acute jaundice, there are many causes of this condition. It is important to determine the underlying cause of jaundice. Which of the following is NOT considered a common risk factors for acute jaundice?

A 36 year patient presents to clinic with acute onset of abdominal pain.  On abdominal exam, a maneuver is performed involving flexing the patient’s right hip to 90 degrees and internally rotating the righ hip by moving the knee inward or medially. The patient reports no abdominal pain with this movement. What physical exam maneuver was performed and what condition is less likely at this point?

A patient reports a decrease in the frequency of stools and asks about treatment for constipation. Which of the following criteria is NOT included in the Rome IV criteria for diagnosing constipation?

A 58-year-old patient presents to her primary care provider (you) to discuss her risk of cardiovascular disease.  Her family history ov CV disease includes her mother having a MI at the age of 66.  Her past medical history includes hypertension, hyperlipidemia and elevated BMI > 30.  She has never smoked tobacco and drinks a glass of white wine daily.   Her current medications include 5 mg of amlodipine PO daily, 10 mg of atorvastatin PO daily.  PE findings include HR 68 bpm, BP 128/68 mmHg, cardiovascular and pulmonary exam within normal limits.  A recent fasting lipid profile obtained 2 weeks ago revealed a total cholesterol of  220mg/dL, HDL of 45 mg/dL and a LDL of 175 mg/dL. :  Which of the following is the most appropriate management to lower her risk of cardiovascular disease?