A patient shows a slight increase in neutrophils after sustaining a small contaminated cut. The NP plans care based on the understanding that…
A 29-year-old pregnant woman at 26 weeks’ gestation reports…
A 29-year-old pregnant woman at 26 weeks’ gestation reports mild right-sided flank pressure that worsens when lying supine. She denies fever, dysuria, or urinary frequency. Urinalysis is normal. Ultrasound shows mild right renal pelvis dilation without stones. The NP bases the plan of care on the knowledge that…
A 6-year-old with chronic asthma presents with dizziness, ti…
A 6-year-old with chronic asthma presents with dizziness, tingling of the fingers, and lightheadedness after an extended coughing episode during a viral flare. His respiratory rate is elevated. The NP recognizes that this acute episode MOST likely represents:
A 37-year-old patient with major depression presents with na…
A 37-year-old patient with major depression presents with nasal congestion, facial pressure, and thick purulent discharge for several days. She assumes it is just stress. The NP plans care based on the understanding that…
A 25-year-old veteran with PTSD presents with pleuritic ches…
A 25-year-old veteran with PTSD presents with pleuritic chest pain, agitation, and tachycardia after prolonged immobility. The NP bases the plan of care on the understanding that:
A 62-year-old woman undergoing chemotherapy reports new fati…
A 62-year-old woman undergoing chemotherapy reports new fatigue and mild muscle aches. Labs show mildly elevated lactate dehydrogenase. She has no fever or infection symptoms. The NP bases the plan of care on the knowledge that…
A 29-year-old man presents with abdominal cramping, chronic…
A 29-year-old man presents with abdominal cramping, chronic diarrhea, weight loss, and intermittent low-grade fever. Colonoscopy shows patchy areas of transmural inflammation with skip lesions throughout the terminal ileum. The NP bases the plan of care on the knowledge that…
A middle-aged woman working in a grocery store presents with…
A middle-aged woman working in a grocery store presents with abrupt fever, myalgias, dry cough, and diffuse crackles. Several coworkers recently tested positive for influenza. The NP plans care based on the understanding that…
A 54-year-old woman on prolonged parenteral nutrition presen…
A 54-year-old woman on prolonged parenteral nutrition presents with muscle weakness, respiratory depression, and diminished reflexes. Magnesium level is 4.8 mg/dL. The NP bases the plan of care on knowledge that hypermagnesemia is lethal primarily because it
A 33-year-old psychiatric inpatient is hyperventilating duri…
A 33-year-old psychiatric inpatient is hyperventilating during a panic episode. PaCO₂ is 28 mmHg (normal 35–45). The NP bases the plan of care on the knowledge that respiratory alkalosis progresses to