A 55-year-old cisgender woman was recently diagnosed with HIV, with an initial CD4 count of 349 cells/mm3 and an HIV RNA level of 158,780 copies/mL. She is now being seen in clinic 4 weeks later and the plan is to start antiretroviral therapy. There is no evidence of resistance on the baseline genotype resistance assay. […]

A 29-year-old cisgender woman recently diagnosed with HIV presents to clinic for follow-up. Her baseline laboratory studies showed a CD4 count of 257 cells/mm3 and an HIV RNA level of 42,690 copies/mL. She initially took bictegravir-tenofovir alafenamide-emtricitabine for about 10 days but did not tolerate it due to sleep problems and is not willing to […]

Alley is a 27-year-old nursing student who, states she is overwhelmed since adding nursing school to an already busy schedule. Alley is a go getter and appears to be healthy. She begins her day at 0430. Feeling exhausted she manages to get out of bed for two hours of schoolwork before having to feed her […]

A nurse is assessing a client and identifies early symptoms of a dystonic reaction related to the client’s antipsychotic medication. Which of the following actions by the nurse is the most appropriate? A. Stay with the client and assure her that her symptoms are not based on reality B. Teach the client about the common […]

Martha, a 57-year-old patient of yours, has been coming for chemotherapy for her uterine cancer for the past three months. Her prognosis is not good, but she would like to exhaust all treatment options. She has a full life with many children and grandchildren, and she wants to live as long as possible. However, her […]

Juanita 14 year s old was brought to the emergency department by her parents, who were worried by her symptoms of lethargy and confusion. They stated that Juanita had been experiencing gastroenteritis x 1 week, vomiting and diarrhea for the past 3 days. Juanita ‘s serum glucose level on admission was 535 mg/dl and her […]

 Anna loves her grandmother and visits her every Sunday. Her grandmother lived a difficult life in her war-torn country before immigrating to Canada. To this day, her grandmother hides all her money around the house and pays for everything in cash. Anna knows that her grandmother is cash-rich, but she could not understand how her […]

A 29 year old male was transported to the emergency department by paramedics who received a 911 call from the patient’s family. They reported he was threatening to kill them and himself. They said he kept talking about orders from the CIA. The client has a history of schizophrenia with onset at age 20. The […]

Master N is a former 29-week gestation infant and now is 38 weeks gestations. She has intubation for 2 weeks due to sepsis and prematurity along with cardiac lesions. She is unable to feed via bottle. The neonatal nurse practitioner (NNP) has assigned the case and identify the single barrier that affects the discharge of […]

An 87-year-old woman in the terminal stage of cancer is cared for by her family at home with the assistance of hospice. She is in continuous malignant pain, and the health care provider has left orders to administer morphine at a rate to control her pain. When the gerontological nurse visits the patient, the patient […]