Nurse Practitioner (NP)-medical guidance, diagnostic assistance, and patient education.

Example

A patient presents with symptoms of a urinary tract infection (UTI). The NP orders a urinalysis and, based on the results, prescribes an appropriate antibiotic. The NP also advises the patient on hydration and potential complications like pyelonephritis, instructing them on when to return for follow-up.

Scenario

In primary care, an NP may see patients with chronic conditions like hypertension. They routinely check blood pressure, adjust medications like ACE inhibitors or calcium channel blockers, and counsel patients on lifestyle changes.

Example

An NP sees a patient with newly diagnosed Type 2 diabetes. They prescribe metformin, explain the importance of blood sugar monitoring, and set up a follow-up appointment to evaluate the medication's efficacy and any potential side effects.

Scenario

In an urgent care setting, the NP might encounter a patient with bronchitis. After confirming it's likely viral, they prescribe supportive medications such as bronchodilators and counsel the patient on symptom management and when antibiotics may be necessary.

Example

During an annual wellness visit, the NP discusses age-appropriate cancer screenings with a patient. They recommend a colonoscopy for colorectal cancer screening, based on the patient’s age and family history, and explain the procedure and its importance.

Scenario

In a family practice, an NP might create individualized smoking cessation plans, prescribing nicotine replacement therapy and offering behavioral counseling to help a patient quit smoking.

Example

An NP is managing a patient with congestive heart failure (CHF). They spend time educating the patient on salt restriction, the importance of daily weight monitoring, and recognizing signs of fluid overload, such as swelling or shortness of breath.

Scenario

In a cardiology clinic, an NP might explain the importance of statins to a patient with high cholesterol, ensuring they understand the potential side effects, the necessity for regular blood tests, and how the medication helps prevent cardiovascular events.

Example

An NP is treating a patient with newly diagnosed rheumatoid arthritis. Recognizing the complexity of the condition, they refer the patient to a rheumatologist for co-management while continuing to provide primary care support.

Scenario

In an emergency department, an NP collaborates with a physician to manage a trauma patient, providing initial stabilization, ordering imaging studies, and assisting in the decision-making process for surgical intervention.