Melisa Kelly, a 57-year-old patient hospitalized with pneumonia, is being discharged to home. The nurse care coordinator has identified Ms. Kelly as high risk for readmission and sent a message to her primary care provider’s nurse care coordinator. The nurse care coordinator is looking for the social worker’s notes from Ms. Kelly’s inpatient stay. The […]

An 82-year-old retired man presents to the clinic with an acute onset of right lower leg pain. On examination of the right lower extremity, the physician notes that the dorsalis pedis and posterior tibial pulses are absent, the popliteal pulse is 1+, femoral pulse is 2+ and the foot is cool to the touch in […]

A 43-year-old client presented to the clinic with complaints of shortness of breath, chills, cough, sputum production, fatigue, decreased appetite, and inability to concentrate. He recently went through a divorce and is living alone. He has taken the past two days off of work due to this illness but is nervous about taking more. Hx: […]

A 31 year old patient presents with complaints of dehydration, fatigue, and frequent urination. Blood labs demonstrate normal blood glucose, high serum osmolarity, and high serum sodium levels. Urinalysis demonstrates low urine osmolarity and low urine sodium levels. Which of the following diseases are most likely occurring? Group of answer choices Graves syndrome diabetes mellitus […]

A 35 year old female presents to the clinic with complaints of with new onset depression, fatigue, and unintentional weight gain. Vitals are significant for bradycardia and hypotension. Physical exam is significant for a moderately sized goiter. Based on the information above, what is the most likely disease process? Group of answer choices hypothyroidism acromegaly […]

A 25 year old female patient presents to the clinic with complaints of unintentional weight loss and ongoing fatigue. The patient states that she has been feeling very weak for the past few months. Clinical exam is significant for patchy areas of skin which seem to have increased pigmentation and areas of skin which seem […]

John comes back to the clinic and is complaining of feeling sluggish and dizzy when standing up. What does the nurse suspect is happening to John? Based on John’s symptoms of feeling sluggish and dizzy when standing up, the nurse may suspect that he is experiencing adrenal insufficiency or Addisonian crisis due to decrease in […]

Martha J. is a 23-year old female, who was born with PKU (phenylketonuria), an enzyme deficiency that prevents the metabolism of phenylalanine.  Children born with PKU are ordinarily placed on a special diet during the early years of life (up to age 6) to prevent severe retardation.  Because Martha J. was placed on this special […]

Characters: • Mrs. Coutt- A 58-year-old patient was admitted to the hospital for laparoscopic appendicectomy. She is staying overnight as she is an insulin-dependent diabetic. Her blood sugars have been unstable. • Sarah: A student nurse attending Mrs.Coutt Situation: Mrs. Coutt’s friend has come to visit her. Both are laughing and reminiscing about an old […]

A transportation company from a long-term care facility arrives on the floor to transport an 86-year-old patient with a hip fracture who has been discharged by the RN one hour ago. This transport company is well known by the nurse. The nurse and several colleagues wave good-bye to the patient and wish the patient well […]