Kenneth presents to clinic with complaints of an area to his right medial ankle “that just won’t heal”.  He knocked his leg on his lawn mower about 3 weeks ago and has been cleaning it daily with soap and water.  His has a history of venous stasis and you suspect he has a venous stasis ulcer.  You note the edges of the wound are shaggy with a erythematous base, with yellow purulent exudate, surrounding tissue is erythematous, warm and you note a streak going up his leg.  What is the best plan of care? Select all that apply. 

Which initial test is considered the current “gold standard” when diagnosing and evaluating HF?

What key lab should you check prior to starting a patient on an ACEI, ARB, ARNI, or MRA?

A patient is unsure of the decision to undergo peritoneal dialysis (PD) and wishes to discuss the advantages of this treatment with the nurse. Which statement by the nurse is accurate regarding PD? 

The purpose of QFT-Plus testing for TB is to:

Dennis is a 28-year-old who has had asthma for 5 years. He tells you he had a “cold” last week and now feels really short of breath, especially with activity. He is unable to go to work.  He has a productive cough of thick white phlegm. Pulse ox is 96%. You auscultate expiratory wheezes in the upper and middle lobes. What treatment should you suggest? 

You suspect a patient has mixed arterial and venous vascular disease. What is the most appropriate treatment strategy? 

Catherine is a 65-year-old patient here to see you for follow-up labs two months after a new diagnosis of HFrEF. Her medications include sacubitril-valsartan, carvedilol, spironolactone, and dapagliflozin. Her current potassium is 6.0 mEq/L. What is your best intervention to keep Catherine healthy?

Sharon is a 29-year-old woman who is a new patient to your practice. She has moderate intermittent asthma. Her only medication is albuterol, which she uses PRN to relieve her cough and wheeze. Currently she uses about 2 albuterol inhalers per month and is requesting a refill today. Your best plan would be to: 

According to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) COPD guidelines, for oxygen therapy to have an impact on overall survival of a patient with COPD, the O2 must be worn: