Sandra, a 69-year-old client, presents complaining of joint pain and stiffness in her hands. A physical examination reveals joint erythema, warmth, and edema, along with limited range of motion. The nurse practitioner suspects osteoarthritis. What diagnostic test should the nurse perform to confirm this diagnosis? Sandra, a 69-year-old client, presents complaining of joint pain and […]

A 50-year-old female with diabetes reports to her provider she feels guilty for stopping her usual gym visits over the last 3 weeks. She is concerned the exercise plan is not working. What advice could the provider give? A. Here are some pamphlets on the benefits of activity and diabetes, maybe this will help B. […]

Natasha is a 23-year-old client who reports to the office with complaints of vaginal discharge, pain while urinating, and pain during intercourse. On performing a pelvic examination, the nurse finds a frothy, mucopurulent, yellowish discharge that has a foul odor. Which sexually transmitted disease (STD) should the nurse suspect most? Natasha is a 23-year-old client […]

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 complaining of nausea with vomiting in the morning and fatigue. […]

Mary is a 28-year-old Hispanic female who is presenting to the clinic with complaints of menstrual irregularities and trouble conceiving. On review of systems, she is positive for hirsutism, and acne. What is the likely diagnosis for Mary? Mary is a 28-year-old Hispanic female who is presenting to the clinic with complaints of menstrual irregularities […]

Brooke is 12-year-old client who underwent menarche 6 months ago. She arrives at the office today complaining of low abdominal pain and cramping. She says that she thought she was having her period, but there is no vaginal bleeding. Which of the following conditions should the nurse suspect most in Brooke? Brooke is 12-year-old client […]

Your patient is a 10-year girl who was in a severe car accident. The physicians have told her parents that she is “brain dead” (supported by multiple EEGs) and needs to be taken off life support. The parents do not believe their daughter is brain dead and think they have seen her respond to them. […]

Matthew has been an emergency room nurse for 15 years. When he graduated from his nursing program and began working in the emergency room, he felt energized and excited to be there. He particularly loved being able to help people in moments of crisis, and he took great pride in his skills. Lately, though, he […]

A 40-year-old woman presents with a red wing-shaped erythema over her cheeks, which she has had for about 5 weeks. At the same time, she is always running a slightly high fever and has sore spots in her mouth. She also complains about pain in her hands, wrists, and knees. She has been on phenytoin […]

A 17 year old girl has a 3 year history of MDD and intermittent suicidal thoughts. She discloses that she has new intermittent thoughts of cutting, and made one very superficial cut with her razor a week ago, following a fight she had with her boyfriend. She denies current acute suicidal ideation. What is the […]