A 66-year-old female with PMH including HTN, HLD, T2D, and c…

A 66-year-old female with PMH including HTN, HLD, T2D, and cataracts in the hospital for right total knee arthroplasty. An RRT is called for evaluation of sudden onset of right eye pain and nausea and vomiting. On exam you note the right eye is fixed, dilated, and cloudy and the patient is otherwise neurologically intact. What is your best plan of care?

You are an AGACNP working on a General Surgery Service and y…

You are an AGACNP working on a General Surgery Service and you are rounding on a 36-year-old female who was admitted under observation status for right upper quadrant pain with negative ultrasound. This morning her right upper quadrant pain is persistent and she continues to have nausea and vomiting. What is the most likely plan of care for this patient?

You are the AGACNP working for a Trauma Service in a Tier I…

You are the AGACNP working for a Trauma Service in a Tier I Trauma Center responding to a Trauma Team Activation. A patient arrives post-high speed MVC as the belted driver in the single- vehicle accident. Intoxication is not suspected. Initial GCS: E 1, V 2, M 3. What is the most appropriate intervention at this time?

You are an AGACNP working on an Orthopedic Trauma Service an…

You are an AGACNP working on an Orthopedic Trauma Service and you are called to evaluate a patient status post open reduction and internal fixation (ORIF) of a femur fracture. The nurse paged you as the patient is endorsing 10/10 poorly controlled pain and numbness and tingling. What is your primary concern for this patient?

An 18-year-old college student is brought into the ED by his…

An 18-year-old college student is brought into the ED by his dorm-mates for an altered level of consciousness and he has been admitted to the hospital medicine service. This morning, he is now febrile, irritable, and, endorsing a headache. You suspect he has bacterial meningitis. What do you expect an LP will show?

A 64-year-old female patient with PMH including stage III co…

A 64-year-old female patient with PMH including stage III colon cancer is currently hospitalized on your service status post colon resection is being re-evaluated for complaint of chest pain. She tells you she is having difficulty taking a full, deep breath. Her vital signs are: Temperature 100.4, pulse 120, respiratory rate 28, BP 98/56, SpO2 88% on room air. On auscultation you note S3 and S4, otherwise her lungs are clear. Given the information presented, what is your next best step?