You have a 64-year old male who has end stage chronic kidney disease who receives dialysis 3x a week and he has severe mitral stenosis valvular disease and atrial fibrillation. According to the American College of Cardiology and the American Heart Association what medication is recommended for him with a CHAD2-VASC Score of 2?

The differential diagnosis for Chikungunya is?

A client with a recent tibial fracture reports intense, deep pain rated 10/10 that is not relieved by IV opioids. The nurse notes the leg is firm and swollen, the skin appears pale and cool, and the client reports numbness and tingling in the foot. Pain increases sharply with passive dorsiflexion of the toes. Pedal pulses are present but diminished. These findings are most indicative of:

A client tells the nurse, “My legs start hurting and feeling tight when I walk, but the pain stops when I sit down.” Which interpretation should the nurse use when assessing this finding?

Which situation reflects a gas-exchange impairment rather than a ventilation problem?

A nurse is monitoring a COPD client who is receiving 4 L/min of oxygen by nasal cannula. The client’s respiratory rate has decreased, and they are now harder to arouse, responding only to their name, the O2 sats are 98%. Which condition should the nurse suspect?

Which assessment finding indicates respiratory failure, not just respiratory distress?

Which finding is most consistent with an arterial ulcer?

A client receiving high-dose opioids for postoperative pain becomes increasingly drowsy and reports a headache. The nurse notes shallow, slow respirations and decreased responsiveness. Which acid–base imbalance is this client most likely experiencing?  

A client reports new unilateral calf swelling, warmth, and tenderness after a long flight. A D-dimer test is drawn and results return as 2.2 mg/L (elevated). Which interpretation by the nurse is most accurate?