The client on enalapril is complaining of a dry, non-productive cough.  After a clinically negative exam, how should the nurse practitioner address the cough?

The client with atrial fibrillation has a Prothrombin time of 27 and INR of 2.8 without any active bleeding.  The client does not have any mechanical heart valves nor history of stroke. Current dose for the last 3 weeks is warfarin 2.5 mg PO at bedtime.  What is the appropriate intervention by the  prescriber?

What is an appropriate choice of antibiotic for a seven-year-old with first episode of cellulitis without previous medical history?  

The young adult client has started paroxetine 20 mg PO daily in the last two weeks .  What is the most important surveillance monitoring by the prescriber to identify and prevent poor outcome?

All of the following are adverse drug reactions (ADR) for nortriptyline EXCEPT 

All of the following are important pretherapy medical histories to obtain prior to ordering diphenhydramine EXCEPT: 

When reconciling medication list for a client with history of CAD (coronary artery disease) and chronic pain, which medication should be added to avoid a common ADR (Adverse Drug Reaction)? Medication List ASA (Bayer’s Low Dose Aspirin) 81 mg PO daily enalapril 20 mg PO daily oxycodone ER (OxyContin) 10 mg PO every 12 hours oxycodone 2.5 mg PO every 6 hours for breakthrough pain famotidine 20 mg PO BID

What is the concern of sudden discontinuation of anti-convulsant therapy without a tapering protocol?

The nurse practitioner would like to prescribe cefuroxime for urinary tract infection (UTI) according to the sensitivity report.  The client is a 78 year old female who is allergic to penicillin.  What is the most important intervention for the NP to determine safety with this drug?

The following are indications for metoprolol EXCEPT: