Select the correct answer:    A 58-year-old adult with exces…

Select the correct answer:    A 58-year-old adult with excess weight presents to the primary care nurse practitioner with complaints of intermittent swelling and discomfort in both lower extremities after a day of work. The patient is a store cashier and states that the discomfort is worse on work days which require more standing.  The following is observed on physical exam:    Based upon these findings, what recommendation is indicated by the primary care nurse practitioner?

Select the correct answer: The primary care nurse practitio…

Select the correct answer: The primary care nurse practitioner is evaluating a 28-year-old adult who presented for follow-up evaluation for headaches. The patient reports a history of migraine since adolescence and would like to attempt pregnancy in the near future.  The patient consistently experiences visual changes and nausea within the hour preceding each headache.  The patient has maintained a headache diary which shows headaches coinciding with menses and additionally occurring on 4 other days during the course of the month. The patient has been previously treated with internasal sumatriptan (Imitrex) which has not been completely effective in relieving symptoms. Appropriate preventative migraine management for this patient may include daily prescription of which of these medications?