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The Family Nurse Practitioner | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner Clinical Case Studies SECOND EDITION Edited by Leslie Neal‐Boylan, Ph D, APRN, CRRN, FAAN, FARN Mansfield Kaseman Health Clinic Rockville, MD, USA | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
This edition first published 2021 © 2021 John Wiley & Sons Ltd Edition History John Wiley & Sons, Inc. (1e, 2011) All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, e... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Contents Contributors xi Preface xv Acknowledgments xvii Intr oduction xix By Leslie Neal-Boylan, Ph D, APRN, CRRN, FAAN, FARN Abbreviations and Acronyms xxi Section 1 The Neonate 1 Case 1. 1 Cardiovascular Screening Exam 3 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 1. 2 Pulmonary Screening Exam 7 By Mikki Meadows-O... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
vi Contents Case 2. 5 Cough 41 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 2. 6 Diarrhea 45 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 2. 7 Fall from Height 49 By Mikki Meadows-Oliver, Ph D, RN, F AAN Section 3 The Toddler/Pr eschool Child 53 Case 3. 1 Earache 55 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 3. 2 ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Contents vii Case 4. 10 Food Allergies 103 By Allison Grady, MSN, APNP Case 4. 11 Obesity 107 By Mikki Meadows-Oliver, Ph D, RN, F AAN Section 5 The Adolescent 11 1 Case 5. 1 Drug Use 113 By Anna Goddard, Ph D, APRN, CPNP-PC Case 5. 2 Weight Loss 115 By Anna Goddard, Ph D, APRN, CPNP-PC Case 5. 3 Menstrual Cramps 119 B... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
viii Contents Case 6. 9 Urinary Frequency 157 By Leslie Neal-Boylan, Ph D, APRN, CRRN, FAAN, F ARN Case 6. 10 Headache 159 By Leslie Neal-Boylan, Ph D, APRN, CRRN, FAAN, F ARN Case 6. 11 Fatigue and Joint Pain 161 By Leslie Neal-Boylan, Ph D, APRN, CRRN, FAAN, F ARN Case 6. 12 Muscle Tenderness 165 By Leslie Neal-Boyla... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Contents ix Case 8. 11 Facial Pain 211 By Leslie Neal-Boylan, Ph D, APRN, CRRN, FAAN, F ARN Case 8. 12 Fatigue, Confusion, and Weight Loss 213 By Leslie Neal-Boylan, Ph D, APRN, CRRN, FAAN, F ARN Case 8. 13 Hand Numbness 217 By Leslie Neal-Boylan, Ph D, APRN, CRRN, FAAN, F ARN Case 8. 14 Chronic Diarrhea 221 By Clara M... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
x Contents Case 10. 8 Itching and Soreness 275 By Sheila L. Molony, Ph D, APRN, GNP-BC, FGSA, F AAN Case 10. 9 Knee Pain 277 By Leslie Neal-Boylan, Ph D, APRN, CRRN, FAAN, F ARN Case 10. 10 Hyperthermia and Mental Status Changes in the Elderly 279 By Suellen Breakey, Ph D, RN and Patrice K. Nicholas, DNSc, DHL (Hon), M... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xi Contributors EDITOR Leslie Neal-Boylan, Ph D, APRN, CRRN, FAAN, FARN Mansfield Kaseman Health Clinic Rockville, MD, USA CONTRIBUTORS Ivy M. Alexander, Ph D, APRN, ANP-BC, FAANP, FAANProfessor and Director, Adult-Gerontology Primary Care Track Coordinator, Clinical Scholarship School of Nursing University of Connecti... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xii Contributors Amy Bruno, Ph D, RN, ANP-BC Term Lecturer School of Nursing MGH Institute of Health Professions Boston, MA, USA Adult Nurse Practitioner Galileo Health New York, NY, USA Jessica Chan, MSN, APRN, PPCNP-BC Coordinator of Medical Services Child and Family Agency of Southeastern CTNew London, CT, USA Karen... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Contributors xiii Rebecca Hill, DNP, RN, FNP-C, CNE Assistant Professor School of Nursing MGH Institute of Health Professions Boston, MA, USA Family Nurse Practitioner Family Doctors, LLCSwampscott, MA, USA Erin Janicek, LCSW Senior Director of Clinical Services Child and Family Agency of Southeastern CTNew London, CT,... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xiv Contributors Antonia C. Makosky, DNP, MPH, ANP-BC, ANP Assistant Professor Adult-Gerontology Primary Care Track Co-Coordinator School of Nursing MGH Institute of Health Professions Boston, MA, USA Mikki Meadows-Oliver, Ph D, RN, FAAN Associate Professor School of Nursing Quinnipiac University Hamden, CT, USA Sheila... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xv Preface The purpose of this book is to help clinicians and students better understand how to diagnose and manage typical (and some atypical) patient cases. While the focus is on the nurse practitioner role, this book will be useful to other patient care providers, such as physicians and physician's assis-tants. The ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xvii Acknowledgments I am so grateful to the readers of the first edition of this book. Thank you for using it. I hope you will find this second edition even more helpful. Many thanks to the contributing authors of this second edition. Several rejoined me from the first edition and others are new to this edition. All w... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xix Introduction By Leslie Neal‐Boylan, Ph D, APRN, CRRN, FAAN, FARN Family practice is not simply the practice of caring for individuals across the lifespan. Contrary to the perceptions of many students who enter the world of family practice, it is not simply to care for people “from womb to tomb. ” Practice that is g... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xx Introduction Our care of individuals and families does not just take place in the clinic or health care setting. It occurs via every encounter we have with the people in our communities and across cyberspace. The coronavirus crisis illustrates that while we have better means of communication than in years past, we a... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xxi AAA: Abdominal aortic aneurysm AACE: American Association of Clinical Endocrinologists AAP: American Academy of Pediatrics ABG: Arterial blood gas ABI: Ankle brachial index ACC: American College of Cardiology ACIP: Advisory Committee on Immunization Practices ACL: Anterior cruciate ligament ACS: Acute coronary synd... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xxii Abbreviations and Acronyms CLIA: Clinical Laboratory Improvement Amendment CMP: Complete metabolic panel CMT: Cervical motion tenderness COC: Combined oral contraceptive pill COPD: Chronic obstr uctive pulmonary disease COWS: Clinical Opiate Withdrawal Scale CRP: C‐reactive pr otein C‐SSRS: Columbia-Suicide Severi... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Abbreviations and Acronyms xxiii GERD: Gastroesophageal r eflux disease GFR: Glomerular filtration rate GI: Gastr ointestinal GINA: Global Initiative for Asthma HA1c: Hemoglobin A1c HCV: Hepatitis C virus HPV : Human papilloma virus HR: Heart rate HRI: Heat‐related illness HSDD: Hypoactive sexual desire disor der HSM: ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
xxiv Abbreviations and Acronyms NAPNAP: National Association of Pediatric Nurse Practitioners NARES: Nonallergic r hinitis with eosinophilia syndrome NIAAA: National Institute of Alcohol Abuse and Alcoholism NICU: Neonatal intensive care unit NIDA: National Institute on Drug Abuse NKDA: No known drug aller gies NKFA: N... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Abbreviations and Acronyms xxv REM: Rapid eye movement RICE: Rest, ice, compression, and elevation ROS: Review of systems RR: Respiratory rate RRR: Regular rate and rhythm RSV : Respiratory syncytial virus RUQ: Right upper quadrant SAFE‐T: Suicide Assessment Five‐Step Evaluation and T riage SAMHSA: Substance Abuse and ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Neonate Case 1. 1 Cardiovascular Screening Exam 3 By Mikki Meadows‐Oliver, Ph D, RN, F AAN Case 1. 2 Pulmonary Screening Exam 7 By Mikki Meadows‐Oliver, Ph D, RN, F AAN Case 1. 3 Skin Screening Exam 11 By Mikki Meadows‐Oliver, Ph D, RN, F AAN Case 1. 4 Oxygenation 15 By Mikki Meadows‐Oliver, Ph D, RN, FAAN Case 1. ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 3SUBJECTIVE Justin, a 10‐day‐old male, presents in the primary care office for a weight check. He is accompa-nied by his parents. His mother is conce... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
4 The Neonate Family medical history: PGF (age 54): diabetes mellitus, heart attack at age 50; PGM (age 53): healthy; MGF: deceased from stroke at age 47; MGM (age 54): asthma; mother (age 29): asthma; father (age 31): healthy; Sibling #1 (age 4): asthma; Sibling #2 (age 2): heart murmur. Medications: Currently taking ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Cardiovascular Screening Exam 5 What is the most likely differential diagnosis and why? ___Patent ductus arteriosus___Venous hum___Atrioventricular malformation What is the plan of treatment, and what should be the plan for follow‐up care?Are there any referrals needed?Does this patient's psychosocial history influence... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 7SUBJECTIVE Cassidy, a 12‐hour‐old female, was born at home via planned home birth. She was brought into the office for an initial health maintenance... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
8 The Neonate OBJECTIVE Vital signs: Weight in the office today is 3360 g; length: 48 cm; temperature: 37. 2°C (rectal); pulse oximeter reading: 95% on room air. General: Alert, active baby. Skin: Clear with no lesions noted; no cyanosis of skin, lips, or nails; no diaphoresis noted; skin turgor intact. Head: Molding p... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Pulmonary Screening Exam 9 What is the plan of treatment, referral, and follow‐up care? Are there any demographic characteristics that would affect this case?What if the patient lived in a rural, isolated setting? Are there any standardized guidelines that should be used to assess or treat this case? | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 11SUBJECTIVE Siobhan is a 4‐day‐old infant in the office with her mother for an initial visit and weight check. Her mother states that Siobhan has a ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
12 The Neonate Medications: Currently taking no prescription, herbal, or over‐the‐counter medications. Allergies: No known allergies to food, medications, or environment. OBJECTIVE Vital signs: Weight: 3690 g; length: 44 cm; temperature: 36. 8°C (rectal). General: Alert, well‐nourished, well‐hydrated baby. Skin: Scatte... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Skin Screening Exam 13 What is the most likely differential diagnosis and why? ___Milia___Erythema toxicum___Herpes simplex virus What is the plan of treatment?Does the patient's psychosocial history impact how you might treat her?Are any referrals needed?Are there any demographic characteristics that would affect this... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 15SUBJECTIVE Matthew, a 27‐day‐old infant, arrives at the office with complaints of “breathing fast” and conges-tion since yesterday. He is accompani... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
16 The Neonate Family medical history: PGF (age 65): Type 2 diabetes mellitus; PGM (age 64): breast cancer at age 55; MGF (age 60): asthma; MGM (age 64): healthy; mother (age 32): asthma; father (age 32): seasonal allergies. OBJECTIVE Vital signs: Weight: 4050 grams; length: 48 cm; temperature: 37. 2°C (rectal); pulse ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Oxygenation 17 What is the most likely differential diagnosis and why? ___Bronchiolitis___Upper respiratory infection (URI)___Chlamydial pneumonia What is the plan of treatment, referral, and follow‐up care?What demographic characteristics might affect this case?Does the patient's psychosocial history impact how you mi... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 19SUBJECTIVE Anita is a 2‐week‐old Hispanic female in for her well‐child check. She is accompanied by her 15‐year‐old mother. The family speaks only ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
20 The Neonate OBJECTIVE Vital signs: Weight: 4050 g; length: 48 cm; temperature: 37. 3°C (rectal). General: Alert, well‐developed baby. Skin: Clear with no lesions noted; no cyanosis of skin, lips, or nails; no diaphoresis noted; good skin turgor. Head: Normocephalic; anterior fontanel is open and flat (3 cm × 2 cm); ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Nutrition and Weight 21 What is the plan of treatment and follow‐up care? Does the patient's psychosocial history impact how you might treat this case?What demographic characteristics might affect this case? Are there any standardized guidelines that should be used to assess or treat this case? | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Infant Case 2. 1 Nutrition and Weight 25 By Mikki Meadows‐Oliver, Ph D, RN, F AAN Case 2. 2 Breastfeeding 29 By Mikki Meadows‐Oliver, Ph D, RN, FAAN Case 2. 3 Growth and Development 33 By Mikki Meadows‐Oliver, Ph D, RN, F AAN Case 2. 4 Heart Murmur 37 By Mikki Meadows‐Oliver, Ph D, RN, F AAN Case 2. 5 Cough 41 By M... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 25SUBJECTIVE Neil, a 12‐month‐old infant, presents to the office for a well‐baby visit. He is accompanied by his mother, Kayla. Kayla states that Nei... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
26 The Infant Neil's mother does not currently work outside the home. The family receives a rent subsidy from Section 8 and a food subsidy from the Women, Infants, and Children (WIC) program and food stamps. The family also receives monthly cash assistance from the Temporary Aid to Needy Families (TANF) program. The fa... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Nutrition and Weight 27 CRITICAL THINKING Which laboratory tests should be ordered as part of a 12‐month, well‐child visit? Other than “well child,” what additional diagnoses should be considered for Neil?What is the plan of treatment, referral, and follow‐up care?Does this patient's psychosocial history affect how you... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 29SUBJECTIVE Julio, a 9‐month‐old male, presents to the office for a well‐baby visit. He is accompanied by his mother, Lupita. Lupita is Spanish spea... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
30 The Infant Social history: Julio was born to a 31‐year‐old mother. He has 2 older siblings (7 and 9 years old). He lives at home with both parents and his maternal grandfather. The family is from Ecuador. His mother works as a housekeeper, and his father works in construction. The family has a pet bird. There are no... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Breastfeeding 31 CRITICAL THINKING Which laboratory or diagnostic imaging tests should be ordered as part of a 9‐month, well‐child visit? ___CBC___Lead screening test___Liver function tests___Cholesterol level___Baseline chest radiograph What is the most likely differential diagnosis and why? ___Iron deficiency anemia_... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 33SUBJECTIVE Kilah, a 9‐month‐old infant, presents to the office for a well‐baby visit. She is accompanied by her foster mother, Angela. Angela state... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
34 The Infant OBJECTIVE General: Appears thin but alert, active, and playful. Vital signs: Weight in the office today is 6. 4 kg and her length is 66 centimeters. Kilah's temper-ature is within the normal range at 36. 8°C (temporal). Kilah's weight has not changed since her last well child visit. Skin: She appears well... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Growth and Development 35 What is the most likely differential diagnosis and why? ___Organic failure to thrive (FTT)___Nonorganic FTT (FTT)___Constitutional growth delay___Fetal alcohol spectrum disorder What is the plan of treatment, referral, and follow‐up care?Does this patient's psychosocial history affect how you ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 37SUBJECTIVE Jonathan, a 12‐month‐old infant, presents to the primary care office for a well‐child visit. He is accompanied by his parents. His mothe... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
38 The Infant OBJECTIVE Vital signs: Weight: 10 kg; length: 84 cm; temperature: 37°C (axillary). General: Alert; well nourished; well hydrated; interactive. Skin: Clear with no lesions noted; no cyanosis of lips, nails, or skin; no diaphoresis noted; good skin turgor. Head: Normocephalic; anterior fontanel is open and ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Heart Murmur 39 What is the plan of treatment, referral, and follow‐up care? Are there any referrals needed?Does the patient's psychosocial history impact how you might treat him?What if this baby were a girl?What if this baby were 6 months old? Are there any standardized guidelines that should used to assess or treat ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 41SUBJECTIVE Katelynn, a 7‐month‐old infant, presents to the office with complaints of cough for 2 days and “breathing heavy” since this morning. Kat... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
42 The Infant Immunizations: Up to date. Allergies: No known allergies to food, medications, or environment. OBJECTIVE Vital signs: Weight: 7. 1 kg; length: 65 cm; temperature: 37. 9°C (rectal); pulse oximeter reading: 95% on room air. General: Alert, active, well‐hydrated, interactive baby. Skin: Clear with no lesions... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Cough 43 What is the most likely differential diagnosis and why? ___Croup (laryngotracheobronchitis)___Bronchiolitis___Epiglottitis What is the plan of treatment, referral, and follow‐up care?Are there any demographic characteristics that would affect this case? What if the patient lived in a rural, isolated setting? | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 45SUBJECTIVE David, an 11‐month‐old infant, presents to the office with complaints of watery diarrhea for 1 day. David is accompanied by his mother. ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
46 The Infant antidiarrheal agents. David has no known allergies to food, medications, or the environment. He is up to date for required vaccinations, but he did not receive a rotavirus vaccination due to a recall of the vaccination. OBJECTIVE David's vital signs were taken in the office today. His weight is 6. 8 kg, a... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Diarrhea 47 What is the most likely differential diagnosis and why? What is the plan of treatment, referral, and follow‐up care?Are there any demographic factors that should be considered? Are there any standardized guidelines that should be used to assess or treat this case? | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 49SUBJECTIVE Victor, a 2‐month‐old infant, presents in the office for an examination after he fell off the changing table. He is accompanied by his m... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
50 The Infant Family medical history: Victor's mother has no health problems. His father is 17 years old and has no history of chronic medical conditions. His maternal grandmother (38 years of age) has a history of high blood pressure. His maternal grandfather (39 years of age) also has high blood pressure. His paterna... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Fall from Height 51 CRITICAL THINKING Which laboratory tests should be ordered as part of a workup after a fall from height? What is the most likely differential diagnosis and why?What is the plan of treatment, referral, and follow‐up care?Does this patient's psychosocial history affect how you might treat this case?Wh... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Section 3 The Toddler/Preschool Child Case 3. 1 Earache 55 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 3. 2 Bedwetting 57 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 3. 3 Burn 61 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 3. 4 Toothache 63 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 3. 5 Abdominal Pain 67 By M... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 55SUBJECTIVE Janice, a 3‐year‐old preschool child, presents to the office with a complaint of left ear pain for 2 days. She is accompanied by her mo... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
56 The Toddler/Preschool Child has an allergy to penicillin. She gets hives when she takes penicillin. Janice has no known allergies to food or the environment. She is up to date on required immunizations. OBJECTIVE Janice's vital signs are taken, and her weight in the office today is 14 kg. Her temperature is slightly... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 57SUBJECTIVE Four‐year‐old Javier presents to the office with his mother, Carol, with a complaint of bedwetting. Carol states that Javier consistentl... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
58 The Toddler/Preschool Child Social history: Javier lives at home with both parents and a 5‐year‐old sibling. His mother works as a store clerk, and his father is a school custodian. The family has no pets. There are no smokers in the home. Family medical history: Javier's mother (26 years old) and father (26 years o... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Bedwetting 59 CRITICAL THINKING What laboratory tests or diagnostic imaging studies should be ordered as part of a workup for bedwetting? What is the most likely differential diagnosis and why?What is the plan of treatment, referral, and follow‐up care?Does this patient's psychosocial history affect how you might treat... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 61SUBJECTIVE Two‐year‐old Faye presents to the office with her mother, Kellie, with a complaint of a burn to the right hand. Kellie states that she w... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
62 The Toddler/Preschool Child Medications: Faye is not currently taking any over‐the‐counter, prescription, or herbal medica-tions. She has no known allergies to medication, food, or the environment. She is up to date on required immunizations, although her mother declines the flu vaccine yearly. OBJECTIVE Faye's vita... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 63SUBJECTIVE Five‐year‐old Lamont presents to the office with his father, Allen, with a complaint of a toothache. Allen states that Lamont woke in th... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
64 The Toddler/Preschool Child Family medical history: Lamont's mother (26 years old) and father (30 years old) both have sickle cell trait, but neither has a history of chronic medical conditions. Lamont's 1‐year‐old sister also has sickle cell trait. His maternal grandmother (46 years old) has a history of hepatitis.... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Toothache 65 CRITICAL THINKING Which diagnostic or imaging studies should be considered to assist with or confirm the diagnosis?___Complete blood count___Erythrocyte sedimentation test___Dental X‐ray What are the most likely differential diagnoses and why? ___Gingivitis___Dental caries___Periodontitis What is the plan ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 67SUBJECTIVE Four‐year‐old Jennifer presents to the office with a complaint of abdominal pain for 2 days. She is accompanied by her mother, Anat. Ana... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
68 The Toddler/Preschool Child age from stomach cancer. Her paternal grandmother (53 years old) has a history of obesity and Type 2 diabetes. Medications: Jennifer is currently taking no over‐the‐counter, prescription, or herbal medications. She has no known allergies to medications, food, or the environment. She is up... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Abdominal Pain 69 ___Erythrocyte sedimentation rate (ESR) ___Barium enema___Total colonic motility studies___Thyroid function test___Stool culture___Endoscopy/Colonoscopy What is the most likely differential diagnosis and why? ___Functional dyspepsia___Functional constipation___Irritable bowel syndrome___Cyclic vomitin... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. 71SUBJECTIVE Two‐year‐old Lydell presents to the office with his mother and maternal grandmother with a complaint of a r ed area on his penis. Lydell... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
72 The Toddler/Preschool Child old) has no known history of health problems. His paternal grandmother (40 years old) has a history of asthma. Medications: Lydell is not currently taking any over‐the‐counter, prescription, or herbal medications. His mother does apply diaper rash cream to the genital area during diaper c... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Lesion on Penis 73 ___Potassium hydroxide (KOH) ___Urinalysis What is the most likely differential diagnosis and why? ___Balanitis___Phimosis___Paraphimosis___Balanoposthitis What is the plan of treatment, referral, and follow‐up care?Does this patient's psychosocial history affect how you might treat this case?What if... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Section 4 The School‐Aged Child Case 4. 1 Rash without Fever 77 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 4. 2 Rash with Fever 79 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 4. 3 Red Eye 83 By Andrew Konesky, MSN, APRN Case 4. 4 Sore Throat 85 By Mikki Meadows-Oliver, Ph D, RN, F AAN Case 4. 5 Disruptive Behavior... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
77 The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. SUBJECTIVE A 4‐year‐old female, Abigail, comes to the clinic for evaluation of a rash. She is accompanied to the visit by her mother. According to... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
78 The School-Aged Child OBJECTIVE General: Alert, well‐nourished female in no apparent distress. She appears nontoxic and is col-oring pictures calmly during the exam. Vital signs: Heart rate: 96; respiratory rate: 16; temperature: 98. 8°F; height: 40 inches; weight: 42 lbs (19 kg). HEENT: Moist mucous membranes witho... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
79 The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. SUBJECTIVE Seven‐year‐old Aubrey presents to the office with a complaint of a rash for 2 days. She is accom-panied by her mother, Jessica. Aubrey ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
80 The School-Aged Child OBJECTIVE General: Aubrey is alert, active, and cooperative. She appears well hydrated and well nourished. Vital signs: Weight in the office today is 33 kg. Her temperature is slightly elevated at 37. 9° Celsius (oral). Skin: A predominantly maculopapular rash is noted on her back and chest. Tw... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Rash with Fever 81 What is the most likely differential diagnosis and why? ___Varicella zoster virus (breakthrough)___Herpes zoster___Scarlet fever___Viral exanthem___Lyme disease___Tinea corporis What is the plan of treatment, referral, and follow‐up care?Does this patient's psychosocial history affect how you might t... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
83 The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. SUBJECTIVE Will, a 12‐year‐old male, was referred to the school‐based health center (SBHC) at the request of his mother for a red right eye, notic... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
84 The School-Aged Child but he is not sure. Will denies family history of cancer and or diabetes. His paternal and maternal grandparents are alive and well. He is unsure of his grandparent's medical history. Medications: 10 mg Zyrtec daily, Naphcon allergy eye drops as needed, daily multivitamin. Allergies: Seasonal. ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
85 The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. SUBJECTIVE Eight‐year‐old Suzanna presents to the office with a complaint of a sore throat for 2 days. She is accompanied by her mother, Mikayla. ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
86 The School-Aged Child Medications: Suzanna is currently taking no prescription or herbal medications. She has been taking over‐the‐counter pain relievers/antipyretics to relieve symptoms associated with her throat pain. Allergies: Suzanna has no known allergies to food, medications, or the environment. She is up to ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Sore Throat 87 What is the most likely differential diagnosis and why? ___Viral pharyngitis___Bacterial pharyngitis___Fungal pharyngitis___Peritonsillar abscess___Group A beta‐hemolytic streptococci (GABHS) What is the plan for treatment, referral, and follow‐up care?Does this patient's psychosocial history affect how ... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
89 The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. SUBJECTIVE This mother presents with 6‐year‐old Jason with concerns about his increasingly disruptive behavior at home. She reports that Jason has... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
90 The School-Aged Child Family history: Jason's mother has history of Hashimoto thyroiditis and depression and is med-icated for both of these conditions. She is fairly adherent to her medication regime. She was an average student, graduated from high school, and works as a cashier. Jason's 33‐year‐old father has a hi... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Disruptive Behavior 91 ___Lead screening ___Vision screening___Hearing screening___Vanderbilt ADHD screening for school and parent___Learning disability evaluation___Pediatric Symptom Checklist What is the most likely differential diagnosis and why? ___Normal active behavior of early childhood___Hearing impairment___At... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
93 The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. SUBJECTIVE Emily is a 6‐year‐old female who presents to the clinic with her mother. She presents with com-plaints of cough and difficulty breathin... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
94 The School-Aged Child (age 81): hypertension, diabetes mellitus Type 2; paternal grandmother (age 76): hypertension, obesity; paternal grandfather (age 72): deceased, hypertension, stroke. Medications: Emily is currently on no medications. Immunizations are up to date. Allergies: Has no known allergies to medication... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
95 The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. SUBJECTIVE Jair, a 11‐month‐old infant, presents to the primary care office with a complaint of not using his left arm for one day. He is accompan... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
96 The School-Aged Child OBJECTIVE Vital signs: Weight: 10 kg; length: 84 cm; temperature: 37°C (axillary). General: Alert; well nourished; well hydrated; interactive. Skin: Right side of forehead with ecchymosis and a 2 cm abrasion; no other lesions noted. No cyanosis of lips, nails, or skin; no diaphoresis noted; goo... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
97 The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. SUBJECTIVE Six‐year‐old Daniel presents to the office with his mother, Donna, with complaints of frequent night-mares. Donna states that Daniel wi... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
98 The School-Aged Child Medications: Daniel is not currently taking any over‐the‐counter, prescription, or herbal medica-tions. He has no known allergies to medication, food, or the environment. He is up to date for required immunizations. OBJECTIVE General: Alert, cooperative, and active; appears well hydrated and we... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
Nightmares 99 What is the most likely differential diagnosis and why? ___Nightmares___Nocturnal seizures___Night terrors___Sleepwalking (somnambulism) What is the plan for treatment, referral, and follow‐up care?Does this patient's psychosocial history affect how you might treat this case?What if the patient lived in a... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
101 The Family Nurse Practitioner: Clinical Case Studies, Second Edition. Edited by Leslie Neal-Boylan. © 2021 John Wiley & Sons Ltd. Published 2021 by John Wiley & Sons Ltd. SUBJECTIVE Seven‐year‐old Katie presents with new onset gastrointestinal complaints. She has no significant past medical history and no known all... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
102 The School-Aged Child maternal grandmother has a history of colorectal cancer (deceased). Her paternal grandfather has Type 1 diabetes. Medications: Katie takes a multivitamin daily. Allergies: Katie has no known allergies. OBJECTIVE General: Katie is a 7‐year‐old feminine appearing child who presents in no acute d... | Leslie Neal-Boylan - The Family Nurse Practitioner.pdf |
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