A 67 year old male presents to the emergency department with shortness of breath that has worsened over the last 3 weeks. He reports now he cannot lay flat at night, and becomes very fatigue with activity. Initial vital signs reveal an oxygen saturation of 87% on room air. The nurse applies 2L per nasal cannula and the patient’s oxygen saturation improves to 92%. His medical history includes hypertension, COPD, and sleep apnea. He reports non-compliance with his CPAP machine. The nurse practitioner orders a chest x-ray that reveals pulmonary edema. What is the most likely cause of the patient’s pulmonary edema?

All of the following are included in emergent burn management, except:

What age is recommended for initial pneumococcal vaccine?

A 65 year old male presents to the emergency department with  complains of altered mental status. His daughter accompanies him and reports he underwent a liver transplant 4 weeks ago.  Vital signs: Temp 100.3F, Pulse 110, BP 95/74, RR 22, Oxygen 94% on room air.  Labs: WBC 22K, H&H 10.9 & 28.8, Plt 110K. Na+ 143, K+ 5.0, BUN 35, Cr 2.5, Glucose 187, Ca+ 7.9. Ammonia 85. AST 350, ALT 421.  What is the nurse practitioner’s next best step? 

56 y/o male presents to emergency department with reports of pain and rash to right side of face. He reports that pain started prior to rash, and he describes the pain as “stabbing and prickling” around right side of face and eye. He reports pain is unrelieved by anything and he denies any vision changes. He denies any known injuries. What is this patient’s likely diagnosis? 

What medication is used to thin sputum secretions?

Rib fractures are always associated with trauma and does not affect the lungs.

What diagnostic test is used to confirm and differentiate types of Addison’s Disease? 

You are discharging a 54 year old male who was hospitalized for 2 days with hyperosmolar hyperglycemic nonketosis. The patient did not know he was diabetic until this admission. His hemoglobin A1c is 11.4. Which prescriptions are most appropriate for this patient upon discharge? 

All of the following are complications of Peptic Ulcer Disease except: