Select the best answer: A 52-year-old post-menopausal adult…
Select the best answer: A 52-year-old post-menopausal adult who was previously treated with chemotherapy and radiation for breast cancer presents for an annual wellness exam. The patient has complaints of fatigue that is attributed relates to work stress and travel. A complete blood count is run and reveals the following: WBC 2300 cells/m3 Hgb 8.7 g/dL Hct 26.3 % Platelet 60,000 cells/m3 The primary care nurse practitioner orders a peripheral smear which shows enlarged granulocytes with no evidence of granulation along with enlarged platelets. Which of the following is the most appropriate working diagnosis for this patient?
Read DetailsSelect the best answer: The primary care nurse practitioner…
Select the best answer: The primary care nurse practitioner is providing care to an older adult resident in a long-term care facility who is in the terminal stages of dementia. Family have questioned the nurse practitioner about the patient’s life expectancy. Which assessment tool would be most specific in estimating this patient’s survival time?
Read DetailsSelect the best answer. A 63-year-old adult presents to the…
Select the best answer. A 63-year-old adult presents to the primary care nurse practitioner with complaints of cervical lymph node enlargement of an 8-week duration. The patient reports no recent history of viral illness, including COVID-19. Physical exam reveals a firm, immobile 5 cm cervical lymph node on the right side of the neck and a similar 2 cm node in the right axillary area. What actions by the NP are indicated at this time?
Read DetailsAn 84-year-old adult presents to an urgent care clinic with…
An 84-year-old adult presents to an urgent care clinic with complaints of shortness of breath and “palpitations” that come and go. The patient is a winter resident in Florida and saw a primary care doctor before relocating to Florida. The patient reports a history of “heart problems” but is unsure of what type. The patient has been experiencing these symptoms for several months, and they are worsening. Last night the patient slept in the chair. On physical examination, the treating nurse practitioner observes that the patient is short of breath at rest and has a Grade 3 systolic murmur on the right side of the sternal boarder at the 2nd right intercostal space. The following rhythm strip is obtained in clinic: These findings are suggestive of which cardiac abnormality?
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