A 35 y/o obese male presents to the clinic with complaints o…

A 35 y/o obese male presents to the clinic with complaints of fatigue, headaches throughout the day which are worse in the morning, wakes frequently during the night with a choking sensation, and daytime somnolence.  Blood pressure is 168/98 (retaken three times while he was in an upright position with feet flat on the floor), 02 sat is 98%, and assessment reveals no abnormalities. You suspect his symptoms are related to:

A patient states that there was a deer tick crawling on her…

A patient states that there was a deer tick crawling on her about a month ago. She was sick with a what she thinks was a cold about a week ago and is now concerned that she has contracted Lyme Disease. The nurse practitioner gets the following results from the serology studies: Western blot IGG and IGM show all bands as negative or non-reactive. The nurse practitioner correctly offers the following information:

A patient returns for follow up with worsening nasal congest…

A patient returns for follow up with worsening nasal congestion, headaches, purulent nasal discharge and a low grade fever, after having been diagnosed with a common cold a week ago. The exam reveals edematous erythematous nasal chambers with purulent drainage in the posterior pharynx. What treatment would the nurse practitioner order?