A 22-year-old woman presents in clinic to follow up on a recent diagnosis of generalized anxiety disorder. She started taking sertraline 25 mg per day for a week and then titrated up to 50 mg per day for the next five weeks. She hasn’t noticed any symptom improvement. Which of the following is the best […]

9. A 34-year-old G3P2 female presents to the obstetrician’s office in the 8th week of pregnancy. A transabdominal obstetrical ultrasound examination is performed for fetal and maternal evaluation. The ultrasound indicates twin gestation, and the crown-rump length is also measured on the additional fetus. Two placenta sites are evaluated, and a thick dividing membrane is […]

A 30-year-old man presents to your family care office complaining of a cough and fever. The patient has had these symptoms for 3 weeks. He states the fever comes and goes but the cough is persistent and productive of yellow sputum. He also notes general fatigue. Vitals are as follows: temperature 100.4°F, pulse (P) 98, […]

Catherine Smith, a 42-year-old female, presented to her family physician complaining that she just didn’t feel well. Her symptoms started a few days earlier with a fever of 102 degrees. She also reported having “aches all over with chills and the shakes,” a productive cough, inability to lie down when sleeping related to frequent coughing. […]

Mrs. A is a 71 year old widow with chf and osteoarthritis who has recently been exhibiting quite unusual behavior. Her daughter is concerned about her mother’s ability to remain independent and wishes to pursue nursing home admission arrangements. She fears the development of a dementing illness. Over the last two or three months Mrs. […]

50. George is a 48 year old Indigenous man with end stage liver disease. He was orphaned at eight years of age and had a difficult childhood. He has “lived rough” from a young teen to now, is homeless and has alcohol addiction. He has two grown children with whom he has limited contact. He […]

This is a 59-year-old female who presents with hyperglycemia seen on day 2 of her admission. The patient is on insulin pump. The patient has uncontrolled type 1 diabetes. Insulin pump is removed and placed on insulin drip protocol. Pharmacy consult for glycemic management, HbA1c levels in a.m. We will monitor the blood sugars in […]

A 42-year old female with medical diagnosis of Type 2 Diabetes Mellitus, Hypertension, Hyperlipidemia, and Obesity, BMI 38 has been referred to the RDN for outpatient Medical Nutrition Therapy services. The patient was newly diagnosed one month ago following routine lab work and reports a family history of diabetes and heart disease. Patient takes a […]

An 82-year-old client who is recovering from a fractured pelvis requires a walker to move about the room. The client is also frequently disoriented, and the family has expressed displeasure that restraints are applied when the client is put to bed at night. Which of the following responses from the nurse would be MOST therapeutic? […]

An 80-year-old Spanish-speaking female with a past medical history of COPD and CHF is admitted for pneumonia, multiple falls, and a weight loss of 30lb in the past three months. She is listed as a Full Code. She has increasing oxygen needs and is on a NIPPV mask, struggling to breathe but able to talk […]