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Author Archives: Anonymous

Mr. Thompson, a 70-year-old male post-myocardial infarction,…

Mr. Thompson, a 70-year-old male post-myocardial infarction, is at risk for decreased cardiac output. Identify the assessment findings indicating he has a reduced cardiac output.

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A nurse is caring for a patient receiving mechanical ventila…

A nurse is caring for a patient receiving mechanical ventilation. Which assessment findings should the nurse recognize as red flag warning signs of a potentially serious ventilator-related complication? Select all that apply.

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The nurse has received the following provider orders for a p…

The nurse has received the following provider orders for a patient in cardiogenic shock with a blood pressure of 70/35 mm Hg. Which order should the nurse question?

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A nurse is caring for a patient who has been mechanically ve…

A nurse is caring for a patient who has been mechanically ventilated for 3 days. The patient suddenly develops increased oxygen requirements, asymmetric chest rise, subcutaneous emphysema, and a drop in blood pressure. The patient is afebrile and has no increase in white blood cell count. Which type of ventilator-associated event should the nurse suspect?

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The nurse has received the following provider orders for a p…

The nurse has received the following provider orders for a patient in cardiogenic shock with a blood pressure of 70/35 mm Hg. Which order should the nurse implement first?

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Match the type of cardiomyopathy with the description of the…

Match the type of cardiomyopathy with the description of the underlying issue

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A patient is experiencing chest discomfort. What findings do…

A patient is experiencing chest discomfort. What findings does the nurse see as concerning for a myocardial infarction (MI)?

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An 88-year-old man with hypertension, type 2 diabetes, and o…

An 88-year-old man with hypertension, type 2 diabetes, and osteoarthritis presents for routine follow-up. He reports increased fatigue but denies shortness of breath, dysuria, or lower extremity swelling.• Medications:   Lisinopril 10 mg daily   Metformin 1000 mg BID   Ibuprofen 400 mg TID for arthritis pain (started 6 months ago)• Physical Exam:   BP: 128/76 mmHg   HR: 78 bpm   Extremities: No edemaLaboratory Findings:• Serum Creatinine: Increased from 1.1 to 1.8 mg/dL (over 6 months)• BUN: Elevated at 32 mg/dL• GFR: Estimated at 45 mL/min• Potassium: 4.9 mEq/L• Glucose: Controlled at 120 mg/dL fastingWhat is the primary concern in this patient’s case?

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A 35-year-old woman presents to the clinic with dysuria and…

A 35-year-old woman presents to the clinic with dysuria and urinary urgency for the past 2 days. She denies fever, chills, or flank pain. She also denies any history of recurrent UTIs or recent antibiotic use. She has a sulfa drug allergy. Her vitals are BP 120/78 mmHg, HR 78 bpm, Temp 98.6°F. On physical exam, she has no tenderness to her abdomen or CVA bilaterally but has suprapubic tenderness. A Point-of-Care Urinalysis was completed, which resulted in positive leukocyte esterase and nitrites with moderate bacteria. Based on the urinalysis findings and clinical presentation, what is the best initial treatment?

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An 80-year-old woman is brought to the clinic by her daughte…

An 80-year-old woman is brought to the clinic by her daughter due to increasing confusion, dry mouth, and difficulty urinating over the past 3 days. She has also experienced new-onset constipation and blurry vision.• Medical History: Hypertension, overactive bladder, insomnia• Medications:   Amitriptyline 25 mg nightly (for neuropathic pain)   Oxybutynin 5 mg BID (for overactive bladder)   Diphenhydramine 50 mg nightly (for sleep)• Physical Exam:   BP: 128/76 mmHg, HR: 94 bpm   Pupils: Dilated and sluggish reaction to light   Mucous membranes: Dry   Bladder: Palpable, distendedWhich of the following is suspected as the underlying cause of this patient’s clinical presentation?

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