652 DQ W 5-6

Question 1

You are an AGACNP practicing in a busy emergency department. Nearly every day you are presented with head (non-neuro), neck, eye, dental, throat, and ear emergencies, including traumatic and nontraumatic injuries.

Describe Epiglottitis emergency including the presentation, etiology, common differential diagnosis, typical diagnostic work-up, treatment plan, appropriate referrals/consultations, preventative measures (if any), and additional information that would be important to the geriatric population.

Question 2

You are a 2-year graduate of an accredited AGACNP master's program. You are now a certified AGACNP practicing on a very busy inpatient oncology unit.

Your patient is s 45-year-old male with head/neck cancer. This is a new diagnosis, however, the patient has lost over 60 pounds in the past 4 months due to dysphagia, malnutrition, and intractable pain. He is currently NPO due to risk of aspiration.

Explore the types of head and neck carcinomas that you will encounter as an AGACNP on this oncology unit. Describe the following:

1. Malignancy, cytology results, and type of cancer markers. if available.

2. How this is cancer diagnosed.

3. The key complications for which you must be watchful.

4. How you will manage this unique and very difficult patient with regard to pain management, airway, cosmetics, psychological concerns, and nutrition.

Question 3

You are an AGACNP for a local endocrine specialty group. You see patients daily in the clinic from 0900-1200 and you round in the hospital for endocrine specialty consults from 1300-1600 daily.

Summarize Gigantism etiology, clinical manifestations, and common presentation of the endocrine disorder you have chosen. Write consultant orders for appropriate diagnostic tests and clinical interventions for both treatment and preventative care.

Question 4

Discuss cultural and age-related considerations in the care of diabetes mellitus type 2 in the adult-geriatric population. What challenges exist with compliance, financial implications, and diabetic complications?

Identify at least one preventative intervention within evidence-based practice and standards of care for diabetes mellitus patients to reduce cardiovascular, renal, neurovascular, and integumentary risks.