You are an AGACNP working in a geriatric outpatient clinic a…

You are an AGACNP working in a geriatric outpatient clinic and you are evaluating a 65-year-old male with a three-month history of painful and difficulty swallowing and unplanned 30-pound weight loss as well as “heartburn.” What is your priority intervention?

A 45-year-old female patient without significant PMH is bein…

A 45-year-old female patient without significant PMH is being evaluated in an adult Urgent Care for traumatic right knee pain. During the review of systems, she notes incidental shortness of breath over the last few days. Revised Geneva 3, D-dimer is negative. With this information, what can you determine regarding the patient s risk?

A 64-year-old female patient with PMH including stage III co…

A 64-year-old female patient with PMH including stage III colon cancer is currently hospitalized on your service status post colon resection is being re-evaluated for complaint of chest pain. She tells you she is having difficulty taking a full, deep breath. Her vital signs are: Temperature 100.4, pulse 120, respiratory rate 28, BP 98/56, SpO2 88% on room air. On auscultation you note S3 and S4, otherwise her lungs are clear. Given the information presented, what is your next best step?

A 66-year-old female with PMH including HTN, HLD, T2D, and c…

A 66-year-old female with PMH including HTN, HLD, T2D, and cataracts in the hospital for right total knee arthroplasty. An RRT is called for evaluation of sudden onset of right eye pain and nausea and vomiting. On exam you note the right eye is fixed, dilated, and cloudy and the patient is otherwise neurologically intact. What is your best plan of care?

You are an AGACNP admitting a 53-year-old male with CKD seco…

You are an AGACNP admitting a 53-year-old male with CKD secondary to HTN and T2D to the hospital medicine service. The labs include: GFR 25, potassium 5.5, and the patient endorses significant edema and 20-pound weight gain in the last 6 weeks. With this data, what stage of CKD is this patient?

A 38-year-old male presents to your outpatient complex pulmo…

A 38-year-old male presents to your outpatient complex pulmonary clinic for consultation with a preliminary diagnosis of COPD from his PCP. In review of his medical record, you note he has a strong family history of COPD and he is a white male. Given this information, which testing should you recommend for this patient given his risk factors?