A mother presents to your clinic with persistent pain for 2 months. She has been treated for yeast twice with no relief. She reports pain in the breasts during and after feeding, in addition to extreme sensitivity to touch (of the nipples). She has no visible trauma to her nipples. She reports her nipples turn […]

A mother presents to your clinic with a persistent painful breast mass. She has been followed by her OB for 3 months for a “blocked duct.” She has tried warm compresses, frequent feeding and massage. The OB has told mother not to worry. What is your next step? a. Tell mother to keep feeding and […]

Rachel Poole, a 20-year-old woman diagnosed with stage II breast cancer, underwent a bilateral total mastectomy with a free TRAM breast reconstruction. The surgery was completed with no complications. Now that the procedure has been completed, the anesthesia provider extubates Ms. Poole before her transport to the PACU. Upon extubation, her blood pressure drops to […]

The patient you are caring for has 4 pitting edema in both feet due to build up of fluid in the tissues from heart failure. You develop a nursing diagnosis of Fluid Volume Overload related to heart failure/fluid in the lungs as evidenced by 4 pitting edema in both feet When considering this diagnostic statement, […]

Sepsis is suspected in any infant under 3 months of age until laboratory findings return. In an infant, the most important findings are hypothermia, bradycardia, and apnea. Tachypnea care be present in both infants and children. The nurse would be concerned with the infant’s weak cry, lethargy, and an increased work of breathing such as […]

Sara is a 45-year-old female presenting for her annual exam. Her blood pressure today is 160/90 HR 84 RR 16. Her height is 64 inches, and her weight is 195. Her last visit to the clinic 3 months ago shows a BP of 156/92. She is currently taking ibuprofen 600 mg tid for back pain. […]

A woman with no history of hypertension is diagnosed with stage 1 hypertension at 16 weeks gestation. Based on ACOG guidelines, which of the following management medication strategies is appropriate? (Choose one) a. First line antihypertensive medication should be started b. No antihypertensive medication is recommended c. Use of a thiazide diuretic is a first […]

Sally is a 10 year old patient who, while riding her bicycle, is struck by a car. She has life threatening internal injuries that if not attended to by immediate surgery are more than likely to result in her death. She is brought to the hospital by ambulance, it is not known where her parents […]

Erica is a physician in Kentucky who is treating a 3 year old with a broken forearm. Erica has reason to believe that the child has been the victim of child abuse, but has no idea of who the perpetrator of the abuse is. Erica is required to report the abuse and her best guess […]

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. […]