A 29-year-old man presents to the hospital complaining of ac…

A 29-year-old man presents to the hospital complaining of acute right flank pain associated with nausea and vomiting. He denies trauma, fever or chills. He reports mild diaphoresis. What is the best initial test to confirm the suspected diagnosis of renal colic due to nephrolithiasis?

A 32-year-old male presents complaining of greenish penile d…

A 32-year-old male presents complaining of greenish penile discharge. He is very concerned because last weekend he attended a bachelor party and was unfaithful to his wife for the first and only time. The ACNP examines a smear of the discharge and finds gram negative diplococci and polymorphonuclear leukocytes. Given the history and clinical findings, the ACNP counsels the patient that he must tell his wife immediately because he likely has a condition that:

The nurse administers the client’s scheduled dose of insulin…

The nurse administers the client’s scheduled dose of insulin lispro (Humalog) as ordered by the healthcare provider at 0800. The meal trays are not delivered at 0800 and are not expected to arrive until 0850.  The client’s blood glucose prior to insulin administration was 90 mg/dL. What will be the nurse’s next action?

An 85-year-old woman presents with new-onset confusion and 3…

An 85-year-old woman presents with new-onset confusion and 3 days of fever. Her past medical history is significant for hypertension, diabetes mellitus and hyperlipidemia. Her medications include lisinopril, hydrochlorothiazide, metformin, atorvastatin and aspirin. The patient is diagnosed with a urinary tract infeciton, and appropriate antibiotic therapy is initiated. She continues to have a fever 4 days after antibiotic therapy. Abdominal/pelvic CT demonstrates an abscess around the left kidney. What is the most common causative organism in the described abscess?