Your patient has had some declining health and is now experiencing delirium. Her daughter is identified as the patient’s Power of Attorney. Which statement by the daughter indicates a need for further education on the Power of Attorney document?

The inflammatory bowel disease that affects all layers of the GI tract, usually involves the lower portion of the small intestine, but can impact anywhere in the GI tract from mouth to anus is:

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 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?

Which major brain region is indicated by “E” in the image below?

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 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?

Amira is a 19-year-old female who is brought to see you in Student Health accompanied by her friend. Her friend explains that they were sitting listening to a boring lecture when Amira suddenly slumped to floor. She was unconscious for approximately 30 seconds with no seizure activity noted. Amira states that she feels fine, just a little tired because she has been studying hard for upcoming finals. Physical exam reveals A & O x 4, BP lying 106/54 and 114/66 after standing for 1 minute, O2 sat 98% on room air, LS CTA, S1S2 without murmur or abnormal heart sounds, and CN II-XII intact. Which initial diagnostic tests should you complete?  Select all that apply.

Which major brain region is indicated by “A” in the image below?

Dominick is a 22-year-old foreign exchange student from Italy. He presents with complaints of fatigue and it is discovered that he has a microcytic, hypochromic anemia. His serum ferritin levels are normal. He most likely has what type of anemia?