An 8-year-old girl presents to urgent care with dysuria and urinary frequency. Her temperature is 102 F. No suprapubic or costovertebral angle tenderness. A urine dipstick test is positive for both leukocyte esterase and nitrites. What is the next step in management?

A 38-year-old G2P2 patient presents with bilateral achiness in her breasts that worsens close to her period.  She described it as so painful she cannot wear her bra during this time.  Upon examination, diffuse rope-like structures are found bilaterally.  When providing education, all of the following may help with mastalgia EXCEPT:

Which a risk factor associated with breast cancer?         

A nulliparous patient presents with a report of nipple discharge.  The most worrisome presentation of nipple discharge is:

A 30-year-old patient would like to start taking oral contraceptive pills, and asks the NP when they can start the prescription. The patient’s last menstrual period ended 5 days ago. The patient has not had sexual intercourse in 2 weeks, is healthy, a nonsmoker, and had no problems when taking birth control pills previously.  Which advice is accurate?

A patient presents at 2 weeks postpartum with continued heavy vaginal bleeding. Vital signs:  Temperature is 98.8 F and pulse is 98.  Lochia has no odor. Fundus is 1 fingerbreadth below the umbilicus. Uterus is boggy and nontender. Which is appropriate management?

The etonogestrel implant (NEXPLANON®) is FDA approved for how many years?

A client reports a severe level of rectal pain after 3 weeks of steroid/analgesic cream. Physical exam reveals an external hemorrhoid that is painful with a dark bluish appearance. What is the management for this patient?   

Breath sounds that are high-pitched, musical and may be due to narrowing of the airways or bronchospasm are

An example of V/Q mismatch: