You are a pediatric nurse practitioner seeing a 7-year-old m…

You are a pediatric nurse practitioner seeing a 7-year-old male patient who presents to the emergency department with a swollen right knee following a fall while playing soccer. The mother reports that the child has had similar episodes in the past, often after minor injuries. He has a history of easy bruising and prolonged bleeding after vaccinations. The family history is significant for hemophilia, as the child’s maternal uncle was diagnosed with Hemophilia A. On examination, the child has a painful and swollen right knee with limited range of motion. You suspect hemophilia and decide to order laboratory tests. Which of the following laboratory tests is most useful for diagnosing Hemophilia A in this patient?

You are a nurse practitioner evaluating a 72-year-old male p…

You are a nurse practitioner evaluating a 72-year-old male patient with a history of chronic atrial fibrillation. He has been diagnosed with hypertension and hyperlipidemia, which are managed with lisinopril and atorvastatin respectively. During the visit, he reports occasional palpitations but denies any chest pain or shortness of breath. He lives independently and has no history of stroke or transient ischemic attack (TIA). The CHA2DS2-VASc score for this patient is calculated to be 4.  Which of the following is the most appropriate intervention to reduce the risk of stroke in this patient?

You are a nurse practitioner evaluating a 64-year-old male p…

You are a nurse practitioner evaluating a 64-year-old male patient who presents with swelling and pain in his left leg. He has a history of hypertension, heart failure, and venous insufficiency. During your assessment, you consider various risk factors for deep vein thrombosis (DVT) according to Virchow’s triad, which includes stasis, endothelial injury, and hypercoagulability.  Which of the following conditions described in this patient’s PMH is best classified, under the component of stasis in Virchow’s triad, as a positive risk factor for DVT?