You examine Jane, a 24-year-old woman who has an acute asthma flare following a 3-day history of upper respiratory tract symptoms (clear nasal discharge, dry cough, no fever). She has a history of moderate persistent asthma that is usually in good control and an acceptable peak expiratory flow (PEF). She is using budesonide (Pulmicort) and albuterol as directed and continues to have difficulty with coughing and wheezing. At home, her PEF is 55% of personal best. In the office, her forced expiratory volume at 1 second (FEV) is 65% of predicted. What should her medication regimen be adjusted to include?

In assessing your client taking the ADHD medication dextroamphetamine/amphetamine, which finding would cause you the most concern?

A patient who has hypertension has been taking a thiazide diuretic for 8 years. The patient has a serum uric acid level of 8 mg/dL. What should the primary care nurse practitioner (NP) caring for this patient do?

Marci, age 15, has been given a diagnosis of step 1 (mild intermittent) asthma. What long-term control therapy is indicated?

A 56 y/o man diagnosed with a MRSA infection reports that he has never “not finished” an antibiotic and has always followed the instructions.  Why is he now experiencing antibiotic resistance?

Which statement is true regarding the use of systemic corticosteroids in the treatment of asthma?

A 22-year-old woman taking a 35-mcg ethinyl estradiol combined oral contraceptive calls after forgetting to take her pills for 2 consecutive days. She is 2 weeks into the pack. What should you advise her to do?

Which statement is true of hydroxymethyglutaryl-coenzyme A reductase inhibitors?

Schedule IV drugs include which classes of medications?

A patient who has GERD has been taking a PPI for 2 months and reports a slight decrease in symptoms. What should the next step be?