Bonus question (2 points possible) Hematuria is reported on…
Bonus question (2 points possible) Hematuria is reported on a urinalysis that was obtained during the diagnostic work-up of a middle-age patient. Identify 3 potential differential diagnoses for this finding. For each potential differential diagnosis also identify two supporting and refuting data elements that would confirm or negate that diagnosis. This item is worth two points which will be a bonus on this exam.
Read DetailsSelect the correct answer: A nurse practitioner in an occupa…
Select the correct answer: A nurse practitioner in an occupational health clinic is performing an annual wellness visit with a corrections officer. The officer is found to have a positive QuantiFERON test during this year’s evaluation. The findings 1 year ago were negative. The patients screening questioinnaire on TB symptoms is unremarkable. What clinical action by the primary care nurse practitioner is indicated at this time?
Read DetailsSelect the correct answer: A middle adult who is undergoing…
Select the correct answer: A middle adult who is undergoing treatment for ulcerative colitis with a biologic agent presents to a primary care nurse practitioner with an acute onset of chills, fever, headache, muscle aches and general myalgia. Symptoms began 24 hours ago. The patient received trivalent influenza vaccine one month ago and has received COVID vaccines consistent with current CDC guidelines. Vitals: 128/86; Pulse 88; respirations 20; temp 101.1 Medications: multivitamins, adalimumab (Humira) 40 mg every other week. Allergies: Penicillin Physical exam: Acutely ill appearing adult; Skin hot and moist; HEENT: nasal mucosa mildly erythematous with clear drainage, tympanic membranes unremarkable; throat clear; right anterior cervical lymph nodes mildly enlarged and tender; S1/S2 regular rate and rhythm; Chest resonant; no areas of increased fremitus; chest clear. Abdomen unremarkable. Rapid flu test: positive for influenza A; COVID 19 – negative Which of the following interventions should the primary care nurse practitioner incorporate into this patient’s management plan?
Read DetailsSelect the correct answer: A 28-year-old adult presented to…
Select the correct answer: A 28-year-old adult presented to the urgent care clinic with complaints of dyspnea, productive cough, and fever of 2 day durations. The patient tested COVID negative 2 days ago at home and in clinic today and also tested negative for COVID and influenza. Past medical history is positive for migraine headache. The patient takes no regular medication and has no known medication allergies. Vitals: B/P 112/78; Pulse 88 bpm; Respiration 22; T 101.6; Oxygen saturation 95% On physical exam the right lower lobe percusses dull, and crackles are also auscultated in the right lower lobe. A right lower lobe pneumonia is confirmed by chest x-ray. What treatment plan is most appropriate for this client?
Read DetailsA client calls out sick to work several times a week so they…
A client calls out sick to work several times a week so they can play basketball with friends at the local gym. When the PMHNP asks if they are afraid of losing their job, the client says, “Oh well…” The PMHNP who takes a psychoanalytic perspective is most likely to describe the client as:
Read DetailsThe interdisciplinary team is planning to discharge a client…
The interdisciplinary team is planning to discharge a client with chronic mental illness to a group home. As the team develops a comprehensive service plan to support the client’s successful integration in the community, which of the following theories would be the most useful:
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