The nurse practitioner is evaluating a 16-year old female in the clinic with a complaint of sudden onset, severe unilateral pelvic pain with radiation to the back and right thigh. The client’s pain developed after she completed a 10K run during cross-country training at school. The client has a prior history of small ovarian cysts, reports normal menstrual cycles (LMP 2 weeks prior), has no history of pregnancy, no surgical history, and is not sexually active.  On physical examination, the client demonstrates adnexal tenderness and is in moderate distress. She is afebrile and her vital signs are within normal limits.  A pregnancy test is ordered and is negative; therefore, a doppler ultrasound is ordered and demonstrates an enlarged right ovary with significantly decreased flow.   What condition does the NP suspect? 

The family nurse practitioner evaluates a 5-year-old child for a routine wellness check. On physical examination, the child appears to have mild pallor. The NP, suspicious of anemia, orders a complete blood count.  The child’s hemoglobin is 8.5 g/dL and hematocrit is 31%. What initial treatment plan would the NP most likely develop for this client?

Submit your answer to the dropbox Exam 1 Write out question. The Assignment is worth 10 pts.

When counseling a client with acute renal failure, which dietary recommendations should the nurse practitioner include? 

The nurse practitioner is evaluating a 27-year-old who presents to the clinic with the complaint of “red-tinged urine”. The client is a non-smoker, denies pain, has no other genitourinary symptoms, no prior history of hematuria or other renal conditions. A urine dipstick reveals trace blood and 2+ protein but no other abnormal findings. Which of the following from the client’s history could likely be related to this finding?

The nurse practitioner is completing a well-child visit on a 2-week infant. On physical examination, the NP notes the infant has short fingers, a single palmar crease, and a prominent space between the first and second toes.  What determination would the NP most likely make? 

Which client-specific indication would be an indication for a genetic evaluation? 

The nurse practitioner is evaluating a 15-month old in the clinic whose mother reports is coughing up “thick, sticky mucus”. The child in the 10th percentile for height and weight and has been seen in the clinic for repeated chest infections over the last six months. What condition should the nurse practitioner be concerned about? 

The nurse practitioner is evaluating a 40-year-old female with a known history of obsessive-compulsive disorder. Which symptom(s) characterize this disorder?

The nurse practitioner is evaluating a 28-year old female with a complaint of unilateral abdominal pain with associated dizziness, near syncope, and a small amount of bright red vaginal bleeding. The client reports her last menstrual period was over 8 weeks ago. On physical examination, the client has abdominal tenderness, cervical motion tenderness, and there is tissue present in the vaginal vault. The client appears ill and has orthostatic hypotension.  The NP suspects ectopic pregnancy. Which lab finding would be highly indicative and warrant additional diagnostics?