Table of Contents

Contributors xi


Preface xv


Acknowledgments xvii


Introduction xix
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


List of Abbreviations and Acronyms xxiii


Section 1 The Neonate 3


Case 1.1 Cardiovascular Screening Exam 5
By Mikki Meadows-Oliver, PhD, RN


Case 1.2 Pulmonary Screening Exam 9A
By Mikki Meadows-Oliver, PhD, RN


Case 1.3 Skin Screening Exam 13
By Mikki Meadows-Oliver, PhD, RN


Case 1.4 Oxygenation 17
By Mikki Meadows-Oliver, PhD, RN


Case 1.5 Nutrition and Weight 21
By Mikki Meadows-Oliver, PhD, RN


Section 2 The Infant 25


Case 2.1 Nutrition and Weight 27
By Mikki Meadows-Oliver, PhD, RN


Case 2.2 Health Maintenance 31
By Mikki Meadows-Oliver, PhD, RN


Case 2.3 Growth and Development 35
By Mikki Meadows-Oliver, PhD, RN


Case 2.4 Heart Murmur 41
By Mikki Meadows-Oliver, PhD, RN


Case 2.5 Cough 45
By Mikki Meadows-Oliver, PhD, RN


Case 2.6 Diarrhea 49
By Mikki Meadows-Oliver, PhD, RN


Case 2.7 Fall off Changing Table 53
By Mikki Meadows-Oliver, PhD, RN


Section 3 The Toddler/Preschool Child 57


Case 3.1 Earache 59
By Mikki Meadows-Oliver, PhD, RN and Susannah Young, MSN, RN


Case 3.2 Bedwetting 63
By Mikki Meadows-Oliver, PhD, RN and Mary-Christine Sullivan, MPH, MSN, RN


Case 3.3 Burn 67
By Mikki Meadows-Oliver, PhD, RN


Case 3.4 Toothache 73
By Mikki Meadows-Oliver, PhD, RN


Case 3.5 Abdominal Pain 77
By Mikki Meadows-Oliver, PhD, RN and Anna Faria, MSN, PNP-BC


Case 3.6 Lesion on Penis 83
By Mikki Meadows-Oliver, PhD, RN and Katharine Swan, MSN, RN


Section 4 The School-Aged Child 87


Case 4.1 Skin Rash 89
By Emily Croce, RN, MSN, CPNP


Case 4.2 Eye Irritation 93
By Anna Tielsch Goddard, CPNP-PC


Case 4.3 Cough and Difficulty Breathing 101
By Nancy Cantey Banasiak, MSN, PNP-BC, APRN


Case 4.4 Obesity 105
By Elaine Gustafson, MSN, PNP


Case 4.5 Sore Throat 109
By Mikki Meadows-Oliver, PhD, RN and Julie Murray, MSN, PNP


Case 4.6 Rash and Fever 113
By Mikki Meadows-Oliver, PhD, RN and Jennifer Mygatt, MSN, RN


Case 4.7 Incontinence 117
By Vanessa Reid, MSN, APRN, CPNP


Case 4.8 Disruptive Behavior 123
By Patricia Ryan-Krause, MS, RN, MSN, CPNP


Case 4.9 Nightmares 127
By Mikki Meadows-Oliver, PhD, RN and Allison Grady, MSN, RN


Section 5 The Adolescent 133


Case 5.1 Birth Control Decision-Making 135
By Alison Moriarty Daley, MSN, APRN, PNP-BC


Case 5.2 Funny Feeling with Urination 139
By Alison Moriarty Daley, MSN, APRN, PNP-BC


Case 5.3 Weight Loss 143
By Alison Moriarty Daley, MSN, APRN, PNP-BC


Case 5.4 Menstrual Cramps 147
By Alison Moriarty Daley, MSN, APRN, PNP-BC and Tracey Fender, RN, MSN, CPNP


Case 5.5 Mother’s Concern 151
By Alison Moriarty Daley, MSN, APRN, PNP-BC


Case 5.6 Sexual Identity 155
By Alison Moriarty Daley, MSN, APRN, PNP-BC and Kevy Wijaya, MSN, RN, CPNP


Case 5.7 Missed Periods 161
By Alison Moriarty Daley, MSN, APRN, PNP-BC


Case 5.8 Left Knee Pain and Swelling 165
By Phoebe M. Heffron, MSN, PNP


Section 6 Women’s Health Cases 169


Case 6.1 Headache 171
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 6.2 Night Sweats 175
By Ivy M. Alexander, PhD, APRN, ANP-BC, FAAN


Case 6.3 Abdominal Pain 189
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 6.4 Fatigue and Joint Pain 193
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 6.5 Muscle Tenderness 197
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 6.6 Urinary Frequency 201
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 6.7 Insomnia 205
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 6.8 Vaginal Itching 209
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 6.9 Abdominal Pain and Weight Gain 213
By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC


Case 6.10 Contraception 219
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Section 7 Men’s Health Cases 225


Case 7.1 Fatigue 227
By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC


Case 7.2 Testicular Pain 231
By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC


Case 7.3 Prostate Changes 235
By Meredith Wallace Kazer, PhD, APRN, A/GNP-BC


Section 8 General Adult Health 241


Case 8.1 Weight Gain and Fatigue 243
By Vanessa Jefferson, MSN, BC-ANP, CDE


Case 8.2 Fatigue 249
By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC


Case 8.3 Morning Headache 255
By Kathy J. Booker, PhD, RN


Case 8.4 Facial Pain 259
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 8.5 Burning Epigastric Pain after Meals 263
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 8.6 Burning Chest Pain 267
By Kathy J. Booker, PhD, RN


Case 8.7 Chest Pain 271
By Kathy J. Booker, PhD, RN


Case 8.8 Chest Pain and Dyspnea without Radiation 275
By Kathy J. Booker, PhD, RN


Case 8.9 Persistent Cough and Joint Tenderness 279
By Kathy J. Booker, PhD, RN


Case 8.10 Non healing Skin Lesion 283
By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC


Case 8.11 Aching in Legs 287
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 8.12 Difficulty Breathing 291
By Kathy J. Booker, PhD, RN


Case 8.13 Wrist Pain and Swelling 295
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 8.14 Hand Numbness 299
By Michelle Wolfe Mayer, MSN, ANP-BC


Case 8.15 Depression 305
By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRN


Case 8.16 Anxiety 309
By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRN


Case 8.17 Abdominal Bloating and Diarrhea 313
By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC


Case 8.18 Elevated LFTs 317
By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC


Case 8.19 Intractable Pain 321
By Geraldine F. Marrocco, EdD, APRN, CNS, ANP-BC


Section 9 The Older Adult 325


Case 9.1 Back Pain 327
By Ivy M. Alexander, PhD, APRN, ANP-BC, FAAN


Case 9.2 Just Not Feeling Right 341
By Shelley Yerger Hawkins, DSN, APRN-BC, FNP, GNP, FAAN


Case 9.3 Tremor and Fatigue 347
By Tess Deshefy-Longhi, DNSc, RN and Allison A. Vorderstrasse, DSNc, APRN


Case 9.4 Visual Changes 357
By Sheila L. Molony, PhD, APRN, GNP-BC


Case 9.5 Confusion 365
By Joanne DeSanto Iennaco, PhD, PMHCNS-BC, APRN


Case 9.6 Itching and Soreness 369
By Sheila L. Molony, PhD, APRN, GNP-BC


Case 9.7 Knee Pain 377
By Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP


Case 9.8 Delirium 381
By Sheila L. Molony, PhD, APRN, GNP-BC


Index 391

About the Author

Leslie Neal-Boylan, PhD, CRRN, APRN-BC, FNP is Professor and Graduate Coordinator at Southern Connecticut State University. Dr. Neal-Boylan has extensive experience in academia as well as family practice, chronic care, and internal medicine. She has edited or co-edited four books including one which won the American Journal of Nursing Award in the medical-surgical division in 2005. Additionally Dr. Neal-Boylan has published over 90 articles in peer-reviewed journals.

Reviews

"This book provides useful and pragmatic case studies that are not
overwhelmed by extraneous information frequently found in books
like this. The cases are clear, to the point, and varied to provide
examples that one would encounter in a typical practice. It is a
useful reference for students and new practitioners to help them
organize patient care and presentations, as well as their critical
thinking skills." (Doody's, 27 January 2012)