You are seeing an older adult patient that was brought to th…

You are seeing an older adult patient that was brought to the clinic by family members. They report that suddenly within the last 24 hours she became confused. She fails to be oriented to person, place or time. She also was incontinent of urine. She appears apathetic and drowsy. You suspect:

The APRN is performing a physical exam on a 64-year-old pati…

The APRN is performing a physical exam on a 64-year-old patient who is healthy. The patient remembers having chickenpox as a child and reports remembering a mild case of shingles on her back that occurred when she was in her 40s, with no postherpetic neuralgia. She has had no further episodes of shingles. What should the NP do?

A young, previously healthy adult clinic patient reports sym…

A young, previously healthy adult clinic patient reports symptoms of high fever and cough. Auscultation reveals rales in the left lower lobe. A chest radiograph shows left lower lobe infiltrates. You diagnose him with pneumonia. Which treatment is recommended for this patient?

A patient who has undergone surgical immobilization for a fe…

A patient who has undergone surgical immobilization for a femur fracture reports dyspnea and chest pain associated with inspiration. The patient has a heart rate of 120 beats per minute. Which diagnostic test will confirm the presence of a pulmonary embolism (PE)?

Lisa a 21 -year old college student comes to the clinic with…

Lisa a 21 -year old college student comes to the clinic with reports of intermittent chest tightness and feelings of suffocation. She states it feels like she “can’t get air in.” She reports that this happens usually around exam time.  She has no current history of heart or lung disease and did not exercise leading up to this attack. Which of the following is the most likely cause for this dyspnea?