Mr. Wilson’s daughter asks about the recent deterioration in her father’s functioning. “It’s only been one year since his diagnosis. I thought Alzheimer’s disease progressed more slowly.” 7. What is the best response? A. O “Your father is in the middle stage of this disease and he will stabilize at this level of functioning for […]

Joanie, 60, post-menopausal, has developed urinary urge incontinence. She just can’t make it to the bathroom in time intermittently and finds herself leaking urine. Denies incontinence with coughing or sneezing. She has a history of multiparty, OSA (CPAP compliant), and constipation. a. Explain how constipation may contribute to urinary incontinence. b. How would you manage […]

24-year-old man is transported to the ED in stable condition after an MVA. His left leg was trapped under the car for several hours before he was freed. Upon examination of his left lower leg there is ecchymosis with swelling, tenderness, severe pain, Paris D Zia and pallor. The x-ray of his left leg is […]

A 52-year-old female is admitted to the hospital with a three day history of nausea and vomiting. She has a past medical history of hypertension, hyperlipidemia, and obesity currently three months status post Roux-en-Y bypass surgery. Upon initial evaluation of the patient the nurse practitioner learns that the patient is experiencing numbness of her hands […]

A 31-year-old female presents with complaints of severe right knee pain and swelling that began suddenly three hours ago. Vital signs are blood pressure 128/88 heart rate 110 respirations 18 and temperature 38.6 Celsius. Vesiculopustular lesions are present on distal extremities. Past medical history is significant for IV drug use and 15 year history of […]

A 49-year-old male sustains a stab wound to the left upper quadrant of his abdomen. He complains of minimal pain and is alert orientated times three and hemodynamically stable. The results of his abdominal examination show no abnormalities. Which of the following statements is true? A. The focused assessment with bedside ultrasound for trauma evaluation […]

A 41-year-old male client has a five year history of hypertension. He is admitted to the hospital with complaints of exertional dyspnea requiring three pillows for sleep and episodes of breathlessness that nightly wakes him up. His blood pressure on admission was 180/106 pulse rate 104, respiratory rate 30. He has JVD to the angle […]

A 55-year-old man with a history of hypertension comes to the clinic to establish care. The patient has a history of hypertension and hyperlipidemia. He is currently taking hydrochlorothiazide 25mg PO daily and amlodipine 5mg PO daily for hypertension. He has been working on lifestyle modifications to help normalize his cholesterol level. The current lipid […]

A 30-year-old woman who is eight months pregnant presents to the emergency department complaining of the sudden onset of feeling like she can’t catch her breath and sharp, right- sided pleuritic chest pain. She denies fever, cough, chest trauma or similar symptoms in the past. She is afebrile with a heart rate of 120, blood […]

A 55-year-old man with a history of hypertension comes to the clinic to establish care. The patient has a history of hypertension and hyperlipidemia. He is currently taking hydrochlorothiazide 25mg PO daily and amlodipine 5mg PO daily for hypertension. He has been working on lifestyle modifications to help normalize his cholesterol level. The current lipid […]