A 59-year-old man with long-standing hypertension develops renal artery stenosis. Which sequence best describes the renal endocrine response contributing to his elevated blood pressure?

A 59-year-old man with decompensated alcoholic cirrhosis and refractory ascites is admitted with progressive oliguria and rising creatinine. He has no hematuria or proteinuria, and renal ultrasound is normal.Vital signs: BP 94/60 mmHg, HR 102 bpm. Labs:BUN 52 mg/dLCreatinine 3.9 mg/dL (baseline 1.0 mg/dL)Na⁺ 126 mEq/LFeNa 0.5%Urinalysis: bland sediment He has already received IV fluids and albumin challenge without improvement.The team diagnoses hepatorenal syndrome–acute kidney injury (HRS-AKI).Which therapy is most appropriate to improve renal perfusion and stabilize renal function?

A 37-year-old man presents with a diffuse, nonpruritic rash involving his palms and soles and generalized lymphadenopathy. RPR titer is 1:64, and FTA-ABS is positive. What is the most appropriate treatment?

A 75-year-old man presents with suprapubic pain and inability to void. Bladder scan shows 900 mL of retained urine. Following Foley placement, 1,000 mL drains immediately. What is the next appropriate step in management?

A 58-year-old woman with CKD stage 3, diabetes, and hypertension has BP 152/88 mmHg and ACR 220 mg/g. Current medications: metformin and hydrochlorothiazide.Which intervention best slows her renal disease progression?

A 54-year-old man presents with sudden, severe left flank pain radiating to the groin. Urinalysis shows microscopic hematuria, and CT confirms a 6 mm ureteral stone. Which mechanism most accurately explains his pain and renal dysfunction?

A 67-year-old woman with end-stage renal disease on continuous ambulatory peritoneal dialysis (CAPD) presents with diffuse abdominal discomfort and reduced dialysate outflow over the past 48 hours. She reports mild nausea but denies fever.Her dialysate appears slightly hazy, and effluent cell count is 320 cells/µL (68% neutrophils). Gram stain is negative; cultures are pending. She has a history of Type 2 diabetes and prior hysterectomy, but no recent catheter trauma.Vital signs: BP 118/72 mmHg, HR 94 bpm, T 99.2°F, RR 20/min. Physical exam: Mild diffuse tenderness without rebound; catheter exit site clean and dry.Which of the following is the most appropriate management step at this time?

A 78-year-old woman with ESRD, severe heart failure, and dementia is admitted with volume overload. The team is considering starting dialysis, but her family is concerned about her quality of life and functional decline.Which approach best reflects optimal NP management?

A 76-year-old man with advanced COPD and sepsis develops severe agitation after extubation, repeatedly attempting to remove his IV lines and oxygen. The nurse applies bilateral wrist restraints. When the AGACNP evaluates the patient, he is now calm, cooperative, and oriented. Which action best reflects evidence-based and regulatory standards for restraint use in the acute care setting?

The section of the tRNA that is complementary to the codon the ribosome is currently “reading” is called