1. NR 601 Competitive Success-- snaptutorial.com

2. NR 601 Week 1 Case Study Discussions (Part 1) For more classes visit www.snaptutorial.com Discussion Part One (graded) You meet your first patient of the morning. A.K. is a 65-year-old Caucasian male who you are seeing for the first time. Both wife and daughter are present. Background

3. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 1 Case Study Discussions (Part 2) For more classes visit www.snaptutorial.com Discussion Part Two (graded) Physical examination Vital Signs: Height: 5 feet 7 inches Weight: 170 pounds Waist Circumference – 32 inches BP 130/84 T 98.0 po P 92 regular R 22, non-labored HEENT: normocephalic, symmetric. Evidence of prior cataract surgery in both eyes. PERRLA, EOMI, cerumen impaction bilateral ears. Several broken teeth, loose partial plate.

4. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 2 Case Study Discussions(Part-1) For more classes visit www.snaptutorial.com Discussion Part One (graded) B.J., a 70-year-old Caucasian female has been seen in the clinic several times over the last 3 years. However, she missed her last annual appointment-last appointment was 18 months ago and today you are the nurse practitioner seeing her. She arrived to the clinic alone and states she is “here for my check-up”.

5. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 2 Case Study Discussions(Part-2) For more classes visit www.snaptutorial.com Discussion Part Two (graded) Physical examination: Vital Signs Height: 5 feet 2 inches Weight: 163 pounds BMI: 29.8 BP 110/70 T 98.0 po P 100 R 22, non-labored; Urinalysis: Protein 2+, Glucose: 4+ HEENT: normocephalic, symmetric. Bilateral cataracts; PERRLA, EOMI; Upper and lower dentures in place a fitting well. No tinnitus NECK: Neck supple; non-palpable lymph nodes; no carotid bruits. Thyroid non-palpable

6. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 3 Case Study Discussions(Part-1) For more classes visit www.snaptutorial.com Discussion Part One (graded) Katie Smith, a 65 year-old female of Irish descent, is being seen in your office for an annual physical exam. You are concerned since she has rescheduled her appointment three times after forgetting about it. She and her husband John are currently living with their daughter Mary, son-in-law Patrick, and their four children. She confesses that while she loves her family and appreciates her daughter’s hospitality, she misses having her own home.

7. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 3 Case Study Discussions(Part-2) For more classes visit www.snaptutorial.com Discussion Part Two (graded) Physical examination: Vital Signs: Height: 5’0” Weight: 150 pounds BMI: 29.3 BP: 120/64 T: 98.0 oral P: 68 regular R: 16, non-labored HEENT: Normocephalic, symmetric. Evidence of prior cataract surgery

8. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 4 Case Study Discussions(Part-1) For more classes visit www.snaptutorial.com Discussion Part One (graded) You are seeing S.F., a 74-year-old. Hispanic male in the office this morning for difficulty breathing. Background: S.F. presents with increased dyspnea on exertion that has become progressively worse over the last 3 days. You observe that he is using pursed lip breathing as he explains his chief complaint. He reports that he has been coughing up a moderate amount of thick,

9. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 4 Case Study Discussions(Part-2) For more classes visit www.snaptutorial.com Discussion Part Two (graded) Physical examination: Vital Signs: Height: 5’8” Weight: 188 pounds BMI: 28.58 BP: 130/70 T: 99.0 oral P: 72 regular R: 24, pursed-lip breathing; Pain level-7-right shoulder HEENT: Normocephalic, symmetric. PERRLA, EOMI, cerumen impaction bilateral ears.

10. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 5 Case Study Discussions (Part-1) For more classes visit www.snaptutorial.com Discussion Part One (graded) C.W. is a tall, thin 78-year-old African American male brought into the office by his son who states that the patient is restless, angry, and has been unable to sleep for the last week. The son indicates that he is very concerned about his father because he lives alone. Also, he is concerned about the “strange” symptoms that his father has presented with recently.

11. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 5 Case Study Discussions (Part-2) For more classes visit www.snaptutorial.com Discussion Part Two (graded) Physical examination: Vital Signs: Height: 5’8” Weight: 154 pounds BMI: 23.4 BP: 132/76 P: 76 regular R: 16 HEENT: Normocephalic, symmetric. PERRLA, EOMI, no cataracts noted; poor dentition.

12. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 6 Case Study Discussions Health Promotion, Health Protection, Disease Prevention, and Treatment Considerations in Long-Term Care (Part-1) For more classes visit www.snaptutorial.com Discussion Part One (graded) Ms. S. is a 62-year-old black female who has returned to the clinic to discuss her concerns that her lifestyle modifications to lose weight have not worked. At the last visit 3 months ago, she was advised to change her eating habits and increase activity to promote weight loss.

13. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 6 Case Study Discussions Health Promotion, Health Protection, Disease Prevention, and Treatment Considerations in Long-Term Care (Part-2) For more classes visit www.snaptutorial.com Discussion Part Two (graded) Physical Exam: Discussion Part Two (graded) Vital signs: blood pressure 145/90, heart rate 100, respirations 20 height 5’1”; weight 210 pounds

14. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 7 Case Study Discussion Health Promotion, Health Protection, Disease Prevention, and Treatment Considerations in End-Of-Life Care (Part-1) For more classes visit www.snaptutorial.com Discussion Part One (graded) C.G. is a 69-year-old male with a history of right head and neck cancer that you have been following for one year. The carcinoma was initially localized to the head and neck-specifically at the left lingual tonsil region and went on to complete a total of 6 weeks of radiation and chemotherapy.

15. NR 601 Competitive Success-- snaptutorial.com NR 601 Week 7 Case Study Discussion Health Promotion, Health Protection, Disease Prevention, and Treatment Considerations in End-Of-Life Care (Part-2) For more classes visit www.snaptutorial.com Discussion Part Two (graded) Physical examination: Vital Signs: Height: 6’0 Weight: 140 pounds; BMI: 19.0 BP: 156/84 P: 84 regular R: 20 HEENT: normocephalic, symmetric PERRLA, EOMI; poor dentition NECK: left neck supple; non-palpable lymph nodes; no carotid bruits. Limited ROM

16. NR 601 Competitive Success-- snaptutorial.com