A 70-year-old woman is receiving total parenteral nutrition (TPN) via central line for severe pancreatitis. She develops fever and chills, and blood cultures grow Staphylococcus aureus. Which of the following is the most likely complication?

A 42-year-old man with HIV has been on antiretroviral therapy (ART) for 18 months. His viral load has been undetectable (

A 68-year-old man with hospital-acquired pneumonia is started on meropenem. Which of the following best explains why carbapenems are generally reserved for severe infections?

58-year-old male presents to the ICU with septic shock secondary to pneumonia. After 3 L of crystalloid resuscitation, his MAP remains at 60 mm Hg, lactate is 4.8 mmol/L, and ScvO₂ is 88%. Which of the following best explains his hemodynamic profile in the early hyperdynamic phase of distributive shock? 

The AGACNP is evaluating a patient in the ED with chronic low back pain and considering additional pharmacologic treatment prior to discharge. Balancing control of a patient’s chronic pain with prevention of potential opioid overdose is important. Which of the following is true? 

From the perspective of Pohl et al. perspective What is a major advance represented in the “butterfly figure” as a meaning for being truly verbal (2 points)

A 65-year-old man with sepsis is started on broad-spectrum antibiotics (vancomycin and piperacillin-tazobactam). Cultures later grow methicillin-sensitive Staphylococcus aureus (MSSA). Which of the following is the most appropriate next step?

A 58-year-old woman with a history of poorly controlled diabetes presents with altered mental status and deep, rapid respirations. Laboratory studies reveal a high anion gap metabolic acidosis. After confirming the elevated anion gap, which of the following is the most appropriate next step in acid-base analysis, and why is this step clinically important?

 Assessing for elder abuse is imperative with every geriatric encounter and knowledge of risks factors important for the AGACNP to understand and assist in the identification of opportunities for prevention. Which of the following statements is correct? 

A 65-year-old man is admitted to the ICU with septic shock. He is hypotensive despite initial fluid resuscitation. The team is considering further intravenous fluids. Which of the following statements best describes the differences between crystalloid and colloid solutions, including their indications and contraindications?