Ms. Disnea is a 68 yo female who was recently admitted to your hospital with diagnosis of COPD exacerbation. Her presenting symptoms on admission were dyspnea and a productive cough with small amount of thick, yellow-green sputum. You have orders for evaluation and treatment. PMH: COPD, 50 pack-year history of smoking CXR: Diffuse Hyperinflation PFT: […]

Describe the SPIKES six-step protocol for delivering bad news to a patient and/or family. See pgs. 57-58 – Chapter 2 What is the HOPI? Why is a good HOPI important? See pages 81-87 – Chapter 3 What does OLDCARTS stand for? Give an example of a question you could ask for each element of the […]

In wA patient who comes to the emergency department is anxious, short of breath, diaphoretic, and has a history of heart disease. The patient states that the doctor instructed him to chew an aspirin on the way to the emergency department. The practitioner understands that the rationale for this instruction is that aspirin Group of […]

In the patient taking Eplerenone, which of the following is true? Group of answer choices C. The drug may cause painful breast enlargement as a side effect B. Ketoconazole should be avoided as it increases drug levels A. Verapamil is a good choice should the patient require a calcium channel blocker D. It is likely […]

The nurse is leading a group of staff to discuss upcoming changes in the staffing pattern. Which behavior by a group member indicates the storming phase of group development? 1. Skipping the meeting 2. Stating what to discuss 3. Summarizing what was discussed 4. Talking about after-work activities

patient with mild heart failure is taking Furosemide, Metoprolol, and Lisinopril. He develops a cough on his Lisinopril. The NP knows that the patient may be safely switched to: Group of answer choices C. Amlodipine A. Spironolactone D. Valsartan B. Captopril

The primary care nurse practitioner (NP) needs to increase a patient’s atorvastatin (Lipitor) to 40mg po qd. What is the patient’s follow up? A. Check liver function tests in 12 weeks and lipid panel in 12 weeks B. Check liver function tests in 3 weeks and chech the lipid panel in 6 weeks C. Check […]

The conversation started with Mr. Smith, who gave an overview of the tests or procedures performed, followed by a clear but compassionate diagnosis disclosure. Dan Smith is a 67-year-old male with HTN, OA, Melanoma, and Metastases (liver, lung, bone, lymph nodes). Thinking about our simulation scenario in class describe the following: What is the client’s […]

You’ve just started a job as a Medical Insurance Specialist at a Military Treatment Facility (MTF). Most patients seeking care and/or treatment are active duty military, retired veterans, as well as surviving spouses and children of military personnel killed in the line of duty. The primary focus of your job is to ensure medical claims […]

Foods and supplements that are suggested to have a possible effect on test results include red meat, cantaloupe, turnips, radishes, parsnips, horseradish, mushrooms, broccoli, cauliflower, apples, bananas, cantaloupe, and vitamin C-enriched foods and juices as well as vitamin C in excess of 250 mg/day (American Cancer Society, 2020; Colorectal Cancer Alliance, 2019a; Fischbach & Fischbach, […]