A 36-year-old female arrives at the clinic with reports of fatigue , palpitations , ringing in the ears , and Statem excessive tiredness with activity . The symptoms began with increased fatigue and have increased in severity Can gradually over the last 2 months ....
Sue Smith is a registered nurse working for a busy home health/hospice agency in a rural community. Sue generally sees five patients per day and completes copious documentation. On arrival to a home today, Sue found a client who was aphasic and bedridden after a CVA...
A 26-year-old cisgender man with HIV has a new clinic visit to establish care for HIV and start antiretroviral therapy. About 14 months ago, he started receiving long-acting injectable cabotegravir for HIV preexposure prophylaxis (PrEP). He stopped taking the...
A 55-year-old cisgender woman was recently diagnosed with HIV, with an initial CD4 count of 349 cells/mm3 and an HIV RNA level of 158,780 copies/mL. She is now being seen in clinic 4 weeks later and the plan is to start antiretroviral therapy. There is no evidence of...
A 29-year-old cisgender woman recently diagnosed with HIV presents to clinic for follow-up. Her baseline laboratory studies showed a CD4 count of 257 cells/mm3 and an HIV RNA level of 42,690 copies/mL. She initially took bictegravir-tenofovir alafenamide-emtricitabine...
Alley is a 27-year-old nursing student who, states she is overwhelmed since adding nursing school to an already busy schedule. Alley is a go getter and appears to be healthy. She begins her day at 0430. Feeling exhausted she manages to get out of bed for two hours of...
A nurse is assessing a client and identifies early symptoms of a dystonic reaction related to the client’s antipsychotic medication. Which of the following actions by the nurse is the most appropriate? A. Stay with the client and assure her that her symptoms are...
Martha, a 57-year-old patient of yours, has been coming for chemotherapy for her uterine cancer for the past three months. Her prognosis is not good, but she would like to exhaust all treatment options. She has a full life with many children and grandchildren, and she...
Juanita 14 year s old was brought to the emergency department by her parents, who were worried by her symptoms of lethargy and confusion. They stated that Juanita had been experiencing gastroenteritis x 1 week, vomiting and diarrhea for the past 3 days. Juanita...
Anna loves her grandmother and visits her every Sunday. Her grandmother lived a difficult life in her war-torn country before immigrating to Canada. To this day, her grandmother hides all her money around the house and pays for everything in cash. Anna knows...
A 29 year old male was transported to the emergency department by paramedics who received a 911 call from the patient’s family. They reported he was threatening to kill them and himself. They said he kept talking about orders from the CIA. The client has a...
Master N is a former 29-week gestation infant and now is 38 weeks gestations. She has intubation for 2 weeks due to sepsis and prematurity along with cardiac lesions. She is unable to feed via bottle. The neonatal nurse practitioner (NNP) has assigned the case and...
