Anna, a 38-year-old, presents to clinic with a recent sinus…

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 complaint…

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 S…

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.

Laksmi is a 28-year-old woman who presents with complaints o…

Laksmi is a 28-year-old woman who presents with complaints of severe nausea, vomiting, and diarrhea.  In addition to the extreme symptoms, she has also noticed that her eyes appear yellow.  She recently returned from a trip to Mexico where she ate raw oysters.  You suspect hepatitis A.  What is your best plan of care.  Select all that apply.