A 65-year-old patient with PAD reports calf discomfort after…
A 65-year-old patient with PAD reports calf discomfort after walking approximately 5 minutes. The discomfort resolves with rest. The patient has no rest pain, tissue loss, or nonhealing wounds. The patient asks what treatment can improve walking ability. Which recommendation should the AGNP prioritize?
Read DetailsAn 82-year-old nursing home resident with multiple chronic c…
An 82-year-old nursing home resident with multiple chronic conditions has no fever but develops an abrupt decline in mobility, reduced oral intake, and new confusion. The nurse reports no obvious urinary or respiratory symptoms. Which is the best clinical interpretation?
Read DetailsAn AGNP suspects that an 84-year-old patient may be experien…
An AGNP suspects that an 84-year-old patient may be experiencing abuse by her daughter. The daughter answers every question during the visit and refuses to leave the examination room. The patient looks at her daughter before answering questions. What is the best next step for the AGNP?
Read DetailsAn 82-year-old nursing home resident presents for evaluation…
An 82-year-old nursing home resident presents for evaluation of several bruises. The AGNP notes bruising on both upper arms and several bruises of different ages on the trunk. The patient becomes visibly anxious when the caregiver enters the examination room. The caregiver states, “She bruises easily because she’s old.” Which finding should cause the greatest concern for possible physical abuse?
Read DetailsA 90-year-old nursing home resident develops a new cough, fe…
A 90-year-old nursing home resident develops a new cough, fever, and increased respiratory rate. Oxygen saturation is 91% on room air. Lung examination reveals new crackles at the right base. The resident is a candidate for treatment based on goals of care and overall condition. Which diagnostic study would be most appropriate to help establish the diagnosis of pneumonia?
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