14. A healthy-appearing 23-year-old Caucasian woman presents…

14. A healthy-appearing 23-year-old Caucasian woman presents to the emergency department following a motor vehicle collision in which she was rear ended. She denies any current symptoms, and physical examination is only positive for a seat belt abrasion. She reports a history of seizures, which are now under control with carbamazepine, but otherwise has a benign medical history. The only abnormality noted in lab work is an absolute neutrophil count of 1000 cells per microliter. Based on the information provided, what is most likely cause of the neutropenia?

81. A 40-year-old female patient with no previous medical hi…

81. A 40-year-old female patient with no previous medical history is admitted with bilateral pulmonary emboli. The workup reveals a positive result for lupus anticoagulant, and anticoagulant therapy is planned. The patient verbalizes concern about her ability to manage the appointments and the follow-up care. The adult-gerontology acute care nurse practitioner’s most effective intervention is to:

32. A patient presents to the emergency department from a nu…

32. A patient presents to the emergency department from a nursing facility with frank bleeding from his tracheostomy, which was placed three months ago. The bleeding started an hour prior to arrival and yesterday he had some pink tinged sputum in the morning that spontaneously resolved. Which of the following initial interventions is the most appropriate?

15. A 67-year-old woman presents with right upper quadrant p…

15. A 67-year-old woman presents with right upper quadrant pain, nausea, and vomiting. She has a remote history of cigarette smoking and a significant history of gallstones. After an extensive workup, you diagnose the patient with an early stage of gallbladder cancer. What is the most appropriate treatment for early-stage disease of gallbladder cancer?