An elderly man is started on lisinopril and hydrochlorhiazide for hypertension. Three days later, he returns to the office complaining of left great toe pain. On exam, the nurse practitioner notes an edematous, erythematous tender left great toe. The likely precipitant of this patient's pain is: A. Trauma B. Tight shoes C. Arthritis flare D. Hydrochlorothiazide {Ans: D. Hydrochlorothiazide}An 81-year-old female is diagnosed with type 2 diabetes. When considering drug therapy for this patient, the nurse practitioner is most concerned with which of the following side effects? A. Weight gain B. Fracture risk C. Hypoglycemia D. Weight loss {Ans: C. Hypoglycemia}Marsha presents with symptoms resembling both fibromyalgia and chronic fatigue syndrome, which have many similarities. Which of the following is more characteristic of fibromyalgia? A. Musculoskeletal pain B. Difficulty sleeping C. Depression D. Fatigue {Ans: A. Musculoskeletal pain}Steve, age 69, has gastroesophageal reflux disease (GERD). When teaching him how to reduce his lower esophageal sphincter pressure, which substances do you recommend that he avoid? § Food that is very hot or very cold § Fatty or fried foods § Peppermint or spearmint, including flavoring § Coffee, tea, and soft drinks that contain caffeine § Spicy, highly seasoned