A patient has a gradually enlarging nodule on one lower eyelid and reports that the lesion is painful. On examination, the lesion appears warm, erythematous, edematous and painful to touch.  The APRN knows that this is likely to be which type of lesion?

A 54-year-old male has come to your clinic after a weekend of playing touch football with his children at a family function. He planted his foot and twisted his knee. His knee has been painful since the injury. You suspect a meniscus injury. The following is true for this type of injury:

Your next patient is a 41-year-old male.  He is healthy and does not have any significant chronic conditions. He fell to the ground in the middle of a pick-up basketball game with friends. He neither lost consciousness nor hit his head when he fell.  He recalls hearing a popping sound followed by immediate pain in the posterior right ankle as he landed on the ball of his foot after having taken a shot,   Physical exam (PE) demonstrates edema around the patient’s posterior right ankle and tenderness to palpation. He is unable to plantarflex his right foot. What is the most likely diagnosis of his current condition?

A patient reports a sudden onset of sore throat, fever, malaise, and cough. The APRN notes mild erythema of the pharynx and clear rhinorrhea without cervical lymphadenopathy. What is the most likely cause of these symptoms?

A patient presenting with nasal congestion, fever, purulent nasal discharge, headache, and facial pain has been diagnosed with sinusitis and began treatment with amoxicillin (a penicillin class antibiotic).  At a follow-up visit 10 days after initiation of treatment, the patient continues to have purulent discharge, congestion, and facial pain without fever. What will the APRN order next?

A 45-year-old patient reports a recent onset of unilateral shoulder pain which is described as diffuse and is associated with weakness of the shoulder but no loss of passive range of motion. What do you suspect as the cause of those symptoms?

 You can include a reference from the National Sleep Foundation on tips for good sleep hygiene in your after visit summary.   When educating your patients regarding good sleep hygiene include the following information:

A 20-year-old patient presents with a 2-day history of right sided otalgia, itchy ear and a feeling like “my ear is full of water.” You palpate the external ear, helix and tragus. The patient withdraws and states “that hurts!” You diagnose this patient with otitis externa and note/recommend:

You ordered a CBC on your 72-year-old female patient with signs and symptoms of anemia. The results of her CBC confirm your diagnosis of anemia. Which of the following statements about anemia is incorrect?

Your last patient of the day is a 78-year-old man with a history of stage 2 chronic kidney disease. He is not anemic. His GFR is 54 mL/min/1.73 cm2. Based on this criteria, how often would you monitor this patient for anemia of CKD?