A mother presents to your clinic with a persistent painful breast mass. She has been followed by her OB for 3 months for a “blocked duct.” She has tried warm compresses, frequent feeding and massage. The OB has told mother not to worry. What is your next...
Rachel Poole, a 20-year-old woman diagnosed with stage II breast cancer, underwent a bilateral total mastectomy with a free TRAM breast reconstruction. The surgery was completed with no complications. Now that the procedure has been completed, the anesthesia provider...
The patient you are caring for has 4 pitting edema in both feet due to build up of fluid in the tissues from heart failure. You develop a nursing diagnosis of Fluid Volume Overload related to heart failure/fluid in the lungs as evidenced by 4 pitting edema in both...
Sepsis is suspected in any infant under 3 months of age until laboratory findings return. In an infant, the most important findings are hypothermia, bradycardia, and apnea. Tachypnea care be present in both infants and children. The nurse would be concerned with the...
Sara is a 45-year-old female presenting for her annual exam. Her blood pressure today is 160/90 HR 84 RR 16. Her height is 64 inches, and her weight is 195. Her last visit to the clinic 3 months ago shows a BP of 156/92. She is currently taking ibuprofen 600 mg tid...
Sally is a 10 year old patient who, while riding her bicycle, is struck by a car. She has life threatening internal injuries that if not attended to by immediate surgery are more than likely to result in her death. She is brought to the hospital by ambulance, it is...
A woman with no history of hypertension is diagnosed with stage 1 hypertension at 16 weeks gestation. Based on ACOG guidelines, which of the following management medication strategies is appropriate? (Choose one) a. First line antihypertensive medication should be...
Erica is a physician in Kentucky who is treating a 3 year old with a broken forearm. Erica has reason to believe that the child has been the victim of child abuse, but has no idea of who the perpetrator of the abuse is. Erica is required to report the abuse and her...
A 25-year-old woman’s LMP was 6 weeks ago. She is complaining of nausea with vomiting in the morning and fatigue. Her breasts feel bloated. The NP suspects she is pregnant. Her symptoms would be considered: A 25-year-old woman’s LMP was 6 weeks ago. She is...
Ken is a 25 year old who, because of his severely dysfunctional mental state, is unable to care for himself. Ken lives in the facility designed to care for people with the kinds of problems that Ken has. Ken’s physician has reason to believe that Ken is being...
Juanita is a physician who has reason to believe that her patient is the victim of domestic violence. Juanita says to the patient “Look what happened to you has to stop, I have to call the cops.” The patient responds by saying, “please don’t...
A 20 year old women who is newly pregnant presents with abdominal pain and dizziness. She also states that she has pi in her right shoulder. On physical exam she is hypotensive, tachycardic and her skin is moist to the touch. You would suspect a diagnosis of: A 20...
