A 69-year-old patient reports pelvic pressure and a sensation of vaginal bulging that worsens after standing. She also has urinary and defecatory difficulty. Examination shows descent of pelvic organs. The NP bases the plan of care on the understanding that…

A 58-year-old patient reports recurrent inability to attain or maintain an erection. Vascular disease and medication effects are being evaluated, and endocrine testing is planned. The NP bases the plan of care on the understanding that…

A 36-year-old patient has amenorrhea, galactorrhea, infertility, and progressive headaches. Visual testing identifies peripheral field abnormalities. The NP bases the plan of care on

A 55-year-old patient has abnormal uterine bleeding with variable cycle frequency and increased blood-loss volume. The clinician is considering both structural and nonstructural causes. The NP bases the plan of care on the understanding that…

A 57-year-old patient has intermittent painless hematuria, unintentional weight loss, and a newly identified renal mass on imaging. The NP bases the plan of care on the understanding that…

A 52-year-old patient taking an antipsychotic develops decreased libido, menstrual irregularity, and galactorrhea. The NP is evaluating prolactin elevation and medication effects rather than assuming a primary psychiatric cause. The NP bases the plan of care on the understanding that…

A 66-year-old long-term smoker reports painless gross hematuria without dysuria. Urine culture is negative, and symptoms do not suggest renal colic. The NP bases the plan of care on the understanding that…

An 82-year-old patient has a weaker-than-expected response to a newly encountered pathogen despite retaining some immunity to previously encountered organisms. The NP bases the plan of care on the knowledge that:

A 34-year-old pregnant patient has persistent vomiting, dizziness, dry mucous membranes, and weakness. Laboratory results show potassium 2.9 mEq/L (normal 3.5-5.0 mEq/L), chloride 90 mEq/L (normal 98-106 mEq/L), and bicarbonate 32 mEq/L (normal 22-26 mEq/L). The NP bases the plan of care on the understanding that…

A 36-year-old patient has difficulty becoming pregnant. Evaluation identifies regular ovulation but impaired transport through both fallopian tubes after a prior untreated sexually transmitted infection. The NP bases the plan of care on the understanding that…