Author: Anonymous

A 60-year-old patient receiving chemotherapy develops fever and cough. WBC is 1,900/mm³ (normal 5,000–10,000/mm³), with marked neutropenia. The chest examination is initially unimpressive. The NP bases the plan of care on

A child is brought for repeated fractures after minor trauma. The child has normal activity but has developed skeletal deformity from previous injuries. Calcium is normal at 9.4 mg/dL (normal 8.5–10.5 mg/dL), and there is no evidence of nutritional deficiency. The NP bases the plan of care on

Midtown Delivery Service delivers packages, which cost $1.80 per package to deliver. The fixed cost to run thedelivery truck is $60 per day. If the company charges $6.80 per package, how many packages must be delivereddaily to reach the break-even point?

A 47-year-old patient with autoimmune thyroid disease presents with progressive weakness, weight loss, nausea, abdominal discomfort, dizziness, and increasingly darkened skin. Blood pressure is 86/54 mm Hg. Serum sodium is 128 mEq/L (normal 135–145 mEq/L), potassium is 5.8 mEq/L (normal 3.5–5.0 mEq/L), and glucose is 61 mg/dL (fasting normal 70–99 mg/dL). The patient has not taken exogenous glucocorticoids. The NP bases the plan of care on

A 75-year-old patient has progressive hand stiffness and knee pain that worsen with use. Morning stiffness is brief, and joint involvement is not strongly symmetrical. Another patient of the same age has prolonged morning stiffness, bilateral small-joint swelling, and symmetric involvement. The NP bases the plan of care on

An infant is transitioning from passive maternal protection while receiving routine immunizations intended to establish longer-lasting antigen-specific protection. The NP bases the plan of care on the knowledge that:

An 80-year-old patient with chronic heart failure and reduced renal reserve reports increasing dyspnea and decreased exercise tolerance. Weight has increased from 72.0 kg to 75.4 kg during the past five days. Examination demonstrates bilateral dependent edema, jugular venous distention, pulmonary crackles, and increasing blood pressure. The NP bases the plan of care on the knowledge that:

A 64-year-old patient presents with fatigue, weight loss, recurrent infection, bruising, and diffuse bone pain. CBC demonstrates anemia, thrombocytopenia, and marked leukocyte abnormalities. The NP bases the plan of care on

A 9-year-old child with chronic malabsorption has delayed growth, lower-extremity deformities, muscle weakness, and delayed motor development. Serum calcium is decreased at 7.8 mg/dL (normal approximately 8.5–10.5 mg/dL). The parent reports adequate physical activity and no major trauma. The NP bases the plan of care on

A 27-year-old has severe menstrual cramping that begins with menses and significantly interferes with daily activity. Evaluation reveals no structural pelvic disease. The NP bases the plan of care on the understanding that…