Jacqueline is a 57-year-old who presents to clinic today wit…

Jacqueline is a 57-year-old who presents to clinic today with a 24 hour history of left lower quadrant pain, fever as high as 101 and non-bloody diarrhea for the last 24 hours. Physical exam is normal except for her abdomen is mildly distended with hyperactive bowel sounds, tenderness to palpation to the left and inferior to the umbilicus.  Your most likely diagnosis is:

You make a home visit with your next patient who is receivin…

You make a home visit with your next patient who is receiving hospice care. His wife reports to you that all of the inhalers and breathing treatments are not working. She can’t stand to see him struggle to for each breath anymore. You note the patient is gasping for breath though his O2 sat is 98%. What is your best response to the patient’s wife?

Anna, a 38-year-old, presents to clinic with a recent sinus…

Anna, a 38-year-old, presents to clinic with a recent sinus infection, left lid swelling, conjunctival chemosis and injection, and pain with eye movement. The patient tells the NP she is having a hard time seeing. Upon physical examination, the patient also has proptosis and diplopia and is febrile. What is the APRN’s best plan of care for Anna?

Ed Murphy is a 66-year-old who presents today with complaint…

Ed Murphy is a 66-year-old who presents today with complaints of chest pain. He states that it is left sided and gradually worsening over the last 48 hours. He has obtained no relief with rest, food, exercise, Mylanta, or Tylenol. He states it hurts all the time and is worse when his chest touches something and that when he took a shower this morning, the hot water hurt that same area.  He states it is waking him up at night. He is on no routine medications, normal vital signs and exam.  What is your most likely diagnosis?