A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine, but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is concerned that the p
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A 90-year-old female is brought to the clinic by her neighbor. She states that everything is fine, but the nurse practitioner notes that she has poor hygiene and bruises on her trunk. The neighbor is concerned that the patient often has no money to buy food, despite income from social security and a coal miner's pension. The nurse practitioner suspects abuse. Which of the following is the nurse practitioner obligated to do next?
*Report the case to the proper authorities.
*Tell the neighbor to check on the woman daily and report back.
*Document the data and report the information to risk management.
*Call the patient's family and inquire about the concerns. - Answer>>> Report the case to the proper authorities.
Rationale: Remember, that suspected abuse is always a reportable event and therefore should be the right answer you gravitate toward on any question that suggest that there is any type of actual or suspected elder abuse.
Your patient presents to the urgent care clinic with a swollen exudative pharynx, profound fatigue, and a very tender left upper quadrant abdomen. What is the most likely diagnosis?
*Epstein Barr virus (EBV)
*Pancreatitis
*Strep pharyngitis
*Tonsillitis - Answer>>> Epstein Barr virus (EBV)
Rationale: Splenomegaly in the setting of upper respiratory infection is almost always EBV. Strep pharyngitis does also have similar attributes but does not explain the splenomegaly. Pancreatitis also has left upper quadrant discomfort but does not have URI symptoms. Tonsillitis is possible except it also does not explain splenomegaly.
An 18-month-old child presents with a bulging, immobile tympanic membrane; T = 103°F (39.4°C). Assessment also reveals a grade II/VI systolic murmur at the left sternal border. After initiation of treatment for otitis media, the most appropriate intervention is to: - Answer>>> reevaluate the patient in 10 days
Rationale: Heart murmurs in toddlers are relatively common and can be either innocent (benign) or pathological (indicative of underlying heart conditions). Proper evaluation and monitoring are essential to determine the nature of the murmur and to ensure the child's health and development are not adversely affected. Re-evaluating in 10 days is an appropriate next course of action.
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