A 22-year-old pregnant woman with cocaine use disorder presented for her routine checkup at the clinic. She is otherwise normal and has no complaints other than an inability to stop using cocaine. What will be the effect of this drug on fetal cardiac activity? A. Fetal tachycardia and increased variability B. Fetal bradycardia and increased […]

You are caring for a 77-year-old postoperative client using a morphine sulphate PCA pump for pain control. The assessment data reveals a respiratory rate of 8 rpm and irregular. The client is lethargic and confused. What actions should you take? Select one: a. Take observations every 15 minutes and monitor for improvement as this is […]

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? […]

A 25-years-old female that is 27 weeks gestation is seen by her obstetrician for a prenatal check-up. The patient has type II diabetes and takes insulin daily to manage her blood sugars. Mary assigns codes O24.414, Z79.4, Z3A.27. Mary’s supervisor performs an audit and determines that Mary did not follow coding guidelines. What coding guideline(s) […]

Robbie is a 34-year-old construction worker. His chief complaint is “I can’t raise my right arm.” He indicates that it’s been painful with movement, intermittently, for a few months, but now he can’t abduct his shoulder at all. You are concerned about a rotator cuff tear. a. Identify the appropriate test to determine whether Robbie […]

Amy Z. is a 45-year-old female who comes to the clinic today due to fatigue and weight gain. She has noticed decreasing energy over about 6 months. She states that now she just feels tired all of the time even after a good night’s sleep. When she comes home from work she frequently falls asleep […]

Mandy, 50, has a history of OA in her knees and an ACL tear in her left knee many years ago. She has a concern for posterior left knee pain with hyperflexion over the last few weeks. Upon physical exam, you palpate a fullness in the posterior knee as you move her LLE from extension […]

A patient goes to their doctor’s office with burns to the left foot after jumping over a candle. The doctor evaluates the burns and performs burn care for the affected area. In addition, the patient complains of a cough as a result of inhaling smoke. The doctor performs and documents a medically appropriate history and […]

Tim is a 15-year-old who comes to the clinic with his father, who is concerned Tim has Strep throat. Tim has felt tired for the past day, has a sore throat, scratchy eyes, and dry cough. On exam, his temperature is 38.6 °C (101.5 °F), pulse 75, respiratory rate 14, and blood pressure 110/65 mmHg. […]

Hello, I’m Billy Arkansas, a nurse at a standalone emergency department located in Austin, Texas. With seven years of experience in nursing and nine years in the Army, I’ve been fortunate enough to travel and learn from diverse perspectives. I’m excited to apply the knowledge gained from this course to enhance my understanding of evidence-based […]