An 87-year-old woman in the terminal stage of cancer is cared for by her family at home with the assistance of hospice. She is in continuous malignant pain, and the health care provider has left orders to administer morphine at a rate to control her pain. When the...
Saresh Mundi, a 45-year-old homeless man, has been diagnosed with active tuberculosis. The community health worker asks him to come to the clinic once a week until his medications, a combination of INH, rifampin, pyrazinamide, and ethambutol, can be regulated. The...
65yo female is brought to the ED complaining of chest pain & left arm tingling. EKG tracing shows evidence of MI. 6pts a. List 2 immediate, anticoag therapies that should be given to this patient to dissolve the clot. b. Patient is admitted to the Cardiac Unit of...
52-year-old female with history of poorly controlled type 1 DM presented for follow up on labs. She has stage 3b CKD with a GFR of 35. PTH level today came back at 88. She is already under the care of a nephrologist. • What do you suspect is happening with...
Saresh Mundi, a 45-year-old homeless man, has been diagnosed with active tuberculosis. The community health worker asks him to come to the clinic once a week until his medications, a combination of INH, rifampin, pyrazinamide, and ethambutol, can be regulated. The...
A woman brings her 32-year-old husband to a psychiatrist for “unusual behavior.” She says that, for the past five days, he has been cleaning the house extensively, often late into the night. He wakes up 2 hours earlier than usual the next morning but does...
The father of a 15-year-old patient reports that the patient suddenly started having severe paranoia, talking really fast, had trouble expressing words, and has not able to sleep for the past 24 hours. Furthermore, the patient has been very hyper, pacing, and very...
A 55-year-old patient with asthma presents with worsening symptoms despite treatment with a low-dose inhaled corticosteroid (ICS) and a long-acting beta-agonist (LABA). The patient’s lung function tests indicate persistent airflow limitation. What is the...
You start a 16-year-old patient on lamotrigine 25mg PO BID. A few days later, the patient calls the office and states that he started having a red bumps on his chest and arms. What is the most appropriate action to take? Question 17 options: Have the patient...
A 17-year-old male student presents to the ED with leg pain and is discharged with Tylenol. After 1 day, he returns with nausea, vomiting, profuse diarrhea, yawning, perspiration, and a runny nose. On examination, his pupils are dilated, twitching is noted in the...
A 35 yo female presents to your clinic. She states she has not had a cycle in 6 months, has noticeably more acne, and recently is starting to show facial hair. She also has been gaining weight and currently weighs 230 pounds. She is concerned she has PCOS and wants to...
The nurse is preparing to administer lithium [Lithobid] to a patient. The nurse will include which of the following nursing implications? Select all that apply. Monitor lithium levels to ensure that they remain within the therapeutic range 2 to 4 mEq/L. Sodium...
