Problem: Nurse practitioners provide high-quality, comprehensive care to clients in a variety of health care settings. Standardized procedures may be used to help guide care. Boards of Nursing, such as FLORIDA, provide resources to ensure that NPs provide quality care while functioning within their scope of practice.
Select one of the conditions or disorders below and generate a standardized procedure for treatment in the acute care setting.
Endocarditis
1. Definition
- Identify the selected disorder or condition.
- Provide a basic description of the pathophysiology of the selected disorder or condition.
- Provide a summary of the incidence and prevalence of the selected disorder or condition in the United States.
2. Assessment
- Identify common subjective findings (symptoms) consistent with the selected diagnosis.
- Identify pertinent physical examination components and the expected exam findings consistent with the selected disorder or condition.
- Identify your intended state of practice and whether physician collaboration is required, as it is in California. If collaboration is required, describe the circumstances that would require physician consultation.
3. Diagnostic tests
- List diagnostic tests appropriate for the selected disorder or condition.
- List expected abnormal results consistent with the selected disorder or condition.
4. Management: Present an evidence-based management plan for the selected disorder or condition.
a. Describe in detail first-line prescribed medications recommended for the selected disorder or condition.
b. Describe in detail second-line medication that should be prescribed IF the client had an allergy to first-line?line treatment for the selected disorder or condition.
c. Identify medication details including
- Trade and generic names for each medication
- Typical dose for each medication
- Major contraindications for use
- Major drug-drug interactions
d. Identify other recommended treatments, if any, for the selected disorder or condition.
e. Discuss expected client follow-up. If the client called in with persistent or recurrent symptoms after initial treatment, describe the appropriate next action.
5. Describe indications for referral.
Use current clinical practice guidelines or U.S.-based scholarly resources appropriate for advanced practice* that has been published within the past 5 years to support management plan.
* Textbooks, journals published outside the United States, and journals not intended for advanced practice nurse or physician providers are NOT considered scholarly references for treatment decisions.