A 40-year-old man presents to his primary care NP for high cholesterol levels. Six months ago, at his last clinic visit, he was found to have high levels of LDL cholesterol. Since then, he has tried to change his diet and exercise more frequently but admits that this has been difficult for him. He reports […]

the patient, a 40 year old male, was diagnosed with acquired hemolytic anemia, autoimmune type with warm-reactive antibodies (warm type), and has been treated with glucocorticoids (prednisone). The patient failed to respond to this medication, so it was stopped two months ago. The patient is also under treatment for systemic lupus erythematous. Given the agressive […]

A 52-year-old male client is admitted to the medical-surgical unit with a 3-day history of sharp, nonradiating epigastric pain and vomiting. He tells the nurse that he hasn’t seen any blood in his stool and that he usually drinks a six-pack of beer a day. In trying to pinpoint the cause of the client’s pain, […]

The patient, a 40-year-old male, was diagnosed with acquired hemolytic anemia, autoimmune type with warm-reactive (IgG) antibodies (warm type) and had been treated with glucocorticoids (prednisone). The patient failed to respond to this medication, so it was stopped two months ago. The patient is also under treatment for systemic lupus erythematosus. Given the aggressive nature […]

A patient is currently taking extended-release morphine 30 mg every 12 hours with immediate-release morphine 10 mg every 1 to 2 hours PRN. You notice that in the last several days the patient has taken on average eight doses of his immediate-release morphine every 24 hours. What should be your next step? Discuss increasing the […]