A patient previously diagnosed with acute sinusitis was trea…

A patient previously diagnosed with acute sinusitis was treated with amoxicillin after presenting with nasal congestion, fever, purulent nasal discharge, headache and facial pain.  At a 10-day follow-up, the patient continues to report persistent purulent discharge, congestion, and facial pain, although the fever has resolved. Given the lack of clinical improvement, what is the most appropriate next step in management the APRN will likely take?

A patient presents with sore throat, a temperature of 38.5°C…

A patient presents with sore throat, a temperature of 38.5°C, tonsillar exudates, and an erythematous pharynx, and cervical lymphadenopathy.  To guide appropriate treatment, what diagnostic test will the APRN order to determine the most effective management this patient’s symptoms?

A manager at a local Billy Bob’s sandwich shop knows that ri…

A manager at a local Billy Bob’s sandwich shop knows that right now it takes an average (mean) of 54 seconds to assemble a sandwich.  In Dan’s past research, he learned the standard deviation of sandwich production is .7 seconds.   Marisol, a new employee, suggested some changes in the process including: rearranging some vegetable locations and changing the order of other ingredients.  Marisol is sure her ideas will save time without sacrificing quality.  After testing her new methods, the results are:  Marisol’s new method had a mean assembly time of 52.5 seconds for 10 sandwiches.   What is the value of the Z score computed for this hypothesis test?