A previously lucid patient with early-stage Alzheimer’s disease is hospitalized after a surgical procedure and exhibits distractibility and perceptual disturbances that occur only in the late afternoon. The patient has difficulty sleeping at night and instead sleeps much of the morning. What is the likely cause of these symptoms?

The symptom of dizziness can be challenging for the nurse practitioner.  Understanding the difference between central and peripheral origins of dizziness is vital in determining differential diagnoses.  Which of the following diagnosis may lead to an origin of dizziness that would be considered central instead of peripheral?

Sarah is researching to determine the best practices for patients who have no co-morbidities and are under the age of 60 years old for simple bronchitis.  She has read that a particular article is “A” Grade.  What does this information mean to Sarah, the nurse practitioner?

When beginning a health maintenance exam, the health care provider learns that an adult patient has been sexually assaulted the previous day. What is the initial responsibility of the provider?

An adolescent patient reports intermitted pain and swelling in various joints on the right side including the knee, elbow, wrist, and ankle. A physical examination reveals tenosynovitis and a maculopapular rash. Which diagnostic tests will be most helpful in determining a diagnosis in this patient?

Which is the most appropriate research design for a Level III research study?

You administer aqueous epinephrine to a man after experiencing a bee sting and developing angioedema and wheezing. What should you do next?

The advanced practice registered nurse and Mr. Jones agree to speak over the telephone every 3 days to check his blood sugars after a recent medication change. What ethical term best describes this?

A patient reports heart palpitation but no other symptoms and has no prior history of cardiovascular disease. The clinic provider performs an electrocardiogram and notes atrial fibrillation and a heart rate of 120 beats per minute. Based on your knowledge which is the initial course of action in treating this patient?

An adolescent patient comes to the primary care provider because of a swollen lymph node which is warm, tender, and rapidly enlarging. Which initial action will the provider take?