A patient states that there was a deer tick crawling on her…
A patient states that there was a deer tick crawling on her about a month ago. She was sick with a what she thinks was a cold about a week ago and is now concerned that she has contracted Lyme Disease. The nurse practitioner gets the following results from the serology studies: Western blot IGG and IGM show all bands as negative or non-reactive. The nurse practitioner correctly offers the following information:
Read DetailsA construction worker with a history of Raynaud’s phenomena…
A construction worker with a history of Raynaud’s phenomena and migraines presents to the clinic with marked color changes and tingling on both hands after prolonged use of the jackhammer. Vital signs are: 142/78, HR 68, Resp 12, temp 97.0. Medications include metoprolol tartrate (Lopressor) 100 mg BID for migraine prevention, and aspirin 81 mg 1 daily. What will the nurse practitioner do?
Read DetailsA 35 y/o obese male presents to the clinic with complaints o…
A 35 y/o obese male presents to the clinic with complaints of fatigue, headaches throughout the day which are worse in the morning, wakes frequently during the night with a choking sensation, and daytime somnolence. Blood pressure is 168/98 (retaken three times while he was in an upright position with feet flat on the floor), 02 sat is 98%, and assessment reveals no abnormalities. You suspect his symptoms are related to:
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