Heather is a 2-year-old girl diagnosed with thalassemia major. She has a prominent mandible and wide-spaced upper teeth from the overgrowth of bone marrow centers. Her skin is bronze from the number of (64) transfusions she has received in her short lifetime. Joey is a 4-year-old boy seen at the same clinic. He is diagnosed […]

Thomas is a 16-year-old male who lives in an inner-city apartment with his sister Keisha who is 21 and Keisha’s 3-year-old son. His mother passed away 10 years ago from complications associated with uncontrolled diabetes and obesity. Thomas moved-in with Keisha, who became his legal guardian. During his annual exam at clinic, it is noted […]

An 18-month-old infant with a dilated cardiomyopathy undergoes heart transplantation, receiving a heart from a 3-year-old child twice his weight. The early posttransplant recovery goes well, and he weans from cardiac pressor agents and is extubated. He has a mediastinal drainage tube in place. As the respiratory therapist, you are called because the chest radiograph […]

A 30-year-old, G1P1001, previously healthy woman presents 4 weeks after her cesarean section for a postpartum examination. Her labor was complicated by fetal bradycardia requiring emergent cesarean section. The patient complains of difficulty breastfeeding, for which she feels quite guilty. She also complains of fatigue, which she attributes to not eating much due to loss […]

Ms. Johnson, a 52-year-old woman, was diagnosed with stage III breast cancer and scheduled to undergo High Emetic Risk Chemotherapy (HEC) consisting of a combination of doxorubicin and cyclophosphamide. Given the high emetic potential of this chemotherapy regimen, the oncology team prescribed a triple therapy antiemetic regimen: 5-HT3 RA + Steroid + NK1 RA. Despite […]

A 65-year-old man with treatment-resistant depression presents to the clinic for follow-up. He has taken multiple medications with no improvement in symptoms. He also complains of not having the time or motivation to do anything because of his excessive sleep and severe headaches. Protriptyline is prescribed. Which of the following ECG changes is most likely […]

An 18-year-old client, who is Chinese, comes into the clinic for a follow-up appointment following cardiac bypass surgery. The client’s father accompanies the client into the examination room. What is the most appropriate action by the nurse? 1. Ask the client’s father if he has any questions regarding his son’s condition. 2. Ask the client’s […]

Ms. Johnson, a 52-year-old woman, was diagnosed with stage III breast cancer and scheduled to undergo High Emetic Risk Chemotherapy (HEC) consisting of a combination of doxorubicin and cyclophosphamide. Given the high emetic potential of this chemotherapy regimen, the oncology team prescribed a triple therapy antiemetic regimen: 5-HT3 RA Steroid NK1 RA. Despite the triple […]

Lea Kilsey is an 64 year old mother of 3. She lives in Manchester with her husband. She currently works as an administrative assistant for a real estate company (Keller Williams). She self-referred to Caring connections, the community mental health agency in her area. Lea’s boss encouraged her to call. Lea Is normally a happy […]

An 84-year-old has been taking daily prednisone for over 12 years to treat polymyalgia rheumatica. Comorbidities include osteoporosis, hypertension, hypercholesterolemia, frequent UTIs, and glaucoma. Prednisone may be contributing to and or causing which of the following health problems? A. Osteoporosis, hypertension, and hypercholesterolemia but not glaucoma. B. Osteoporosis and hypertension only. C. Osteoporosis and glaucoma […]