A patient in cardiogenic shock is receiving a dobutamine infusion at 3 mcg/kg/min. Based on the pharmacologic effects of this medication, which therapeutic responses should the nurse anticipate and monitor for?

A patient’s hemodynamic profile shows the following values: Cardiac output (CO): 3 L/min Cardiac index (CI): 1.5 L/min/m² Systemic vascular resistance (SVR): 500 dynes/sec/cm⁵ Central venous pressure (CVP): 1 mmHg Based on this pattern, the nurse recognizes these findings as most consistent with which type of shock?

A 58‑year‑old patient arrives in the ICU after several hours of vomiting blood due to a suspected upper GI hemorrhage. The nurse notes cool, clammy skin; a heart rate of 138; blood pressure of 78/46; respiratory rate of 26; and a central venous pressure (CVP) of 1 mmHg. The patient’s urine output for the past hour is 10 mL.  What is the nurse’s first priority action?

A covalent bond is composed of ____ pairs of electrons that are shared between two atoms. 

According to Cialdini’s principles of persuasion, a university notices when they publicly display the number of students who have already registered for an event, even more student’s sign up.  What principle best explains this outcome?

What is the term for the systematic process in which an organization measures its performance, processes, or practices against industry leaders or competitors to identify improvement opportunities and establish best practices?

The exam is 120 minutes. You will have an additional 15 minutes to print (if available), scan, and upload. If you submit after the allotted time, your exam will be considered late and may incur a late penalty. After you complete your exam, scan your solutions into one .pdf file. Please upload your completed exam file by clicking on the “Add File” button underneath Question 1’s blank answer field. Download exam file here: Exam 1 The exam is closed book. You are allowed one double sides 8.5×11” handwritten or typed cheat sheet. No electronic devices are permitted to use during the exam.  If your exam utilizes Gradescope’s Student App, Do NOT upload to Gradescope. You will only upload your scanned exam file to this D2L quiz. 

A 52-year-old man with type 2 diabetes mellitus presents to the emergency department with a 2-day history of severe right lower extremity pain and swelling. He recalls sustaining a minor abrasion to his shin while gardening 4 days ago. On examination, his temperature is 38.9°C (102°F), heart rate is 118 beats/min, and blood pressure is 92/58 mmHg. The right lower leg shows erythema extending from the ankle to mid-thigh, with areas of purple discoloration and two hemorrhagic bullae. The patient reports that the pain is “unbearable” and seems worse than what the skin findings would suggest. There is crepitus on palpation, and the patient has decreased sensation over the affected area. Laboratory studies show WBC 22,000/μL, serum lactate 4.2 mmol/L, and creatinine 2.1 mg/dL (baseline 0.9 mg/dL).

A 28-year-old woman presents to the emergency department 6 hours after being bitten on the hand by a bat while camping. She reports minimal pain and no visible bite marks on examination. The bat flew away and is unavailable for testing. She has no history of rabies vaccination and is otherwise healthy with up-to-date tetanus immunization.

When done, submit your answers. Before leaving the classroom, check with the instructor or a TA sign out and turn in any scratch paper.