Fred McCormick comes to the clinic today complaining of inte…

Fred McCormick comes to the clinic today complaining of intermittent pain in his chest, worried he is having a heart attack. Pain started two days ago. His history: Age 36; no hypertension; mild hyperlipidemia treated with diet therapy; life-long non-smoker; parents; siblings all alive & well with no family of CAD; no previous history of PVD or CVA/TIA; BMI is overweight, but not obese. Physical assessment: Stable VS, 124/67, HR 88, Regular rhythm, non murmurs, clear lung sounds. Chest wall palpitation reveals tenderness and reproducible pain at the costosternal area. EKG: normal sinus rhythm with no ST changes. The nurse practitioner should proceed with which of the following:

Tony is complaining of occasional palpitations. The palpitat…

Tony is complaining of occasional palpitations. The palpitations occur several times a month, last several seconds to minutes, feels like his heart races. He denies syncopal events, chest pain, or shortness of breath, but the episodes still worry him.  Assessment is unremarkable and lab work (including a TSH) is normal.  The nurse practitioner would prioritize which of the following orders: 

Ms. Smith, a 73-year-old female patient, who lives at home i…

Ms. Smith, a 73-year-old female patient, who lives at home independently. Her only chronic health problem is hypertension, diagnosed 2 years ago, which has been well controlled. Ms. Smith is complaining of worsening shortness of breath on her daily walks, starting about 3 weeks ago. She came into urgent care today, as yesterday she also has some accompanying left shoulder & jaw discomfort. Symptoms always stop or resolve within several minutes after she sits down to rest.  She is pain free, with no other symptoms, at the time of her urgent care visit. This history is most consistent with which of the following differential diagnoses?  

Take one last look at your camera view in Honorlock.   If yo…

Take one last look at your camera view in Honorlock.   If your camera view does not show your faces, desk, hands and papers, please take time to fix it now so it shows in the recording.  If you do not correct it, you will be notified to start over and repeat this test.  Did you check your camera view and correct it if needed?