A 74-year-old presents with dyspnea and lower-extremity edema. BNP is markedly elevated. Chest x-ray shows interstitial edema. Sodium is 129 mEq/L.   These findings most strongly indicate:

A sedated patient on volume assist-control ventilation suddenly triggers a low-pressure and low exhaled tidal volume alarm during repositioning. Exhaled tidal volume drops to near zero. SpO₂ decreases from 95% to 91%. The ventilator circuit appears loose near the patient connection.   What should the nurse do first?

A 70-year-old with severe COPD presents with worsening dyspnea and lethargy. ABG: pH 7.29, PaCO₂ 66 mmHg, PaO₂ 58 mmHg on 3 L nasal cannula. The patient is drowsy but arousable and protecting their airway. There is no facial trauma and minimal secretions.   Which intervention is most appropriate at this time?

A client with advanced COPD is receiving noninvasive ventilation for worsening dyspnea. ABG results show:   pH 7.27 PaCO₂ 70 mm Hg PaO₂ 82 mm Hg on 40% FiO₂   Which interpretation is most accurate?

A 68-year-old presents with 6-pound weight gain in 3 days, orthopnea, and fatigue. Vital signs: HR 110, RR 24, SpO₂ 91% RA.   Which assessment finding supports acute decompensated heart failure?

A 79-year-old with metastatic pancreatic cancer dies on the medical unit. Death was expected. There is no coroner involvement. The family is present and requests time with the body.   What is the nurse’s priority action?

Randy, a California Real estate broker was seeking building code approval for his newly built apartments. Randy meets with attorney Ms. West. Ms. West was admitted to the California Bar  in 2020.  He gave her a $ 5,000 retainer after he signed the retainer agreement.  In a private in office meeting with Ms. West’s paid  paralegal present to help take notes. he asked Ms. West if it would be ok if he gave a code enforcement officer “advisement payments” would violate bribery laws. Ms. West advises any such payment would likely be illegal. Randy proceeds with the payment anyway. Later, Randy calls  an associate into his office. During the discussion he says, , “ My lawyer said it was illegal but I thought I could give the money in a different way for the Code enforcement holiday party.”  After Randy’s arrest, he filed a malpractice lawsuit against Ms. West alleging she told him this payment would be perfectly fine. At trial the District Attorney subpoenas Ms. West and the paralegal  to testify about her communications with Randy. Ms. West asserts the Attorney-Client privilege. Assume all other objections are timely made. No Hearsay issues are raised. The Associate testified at pretrial hearing and affirmed Randy’s disclosure.

What are the valence shell electron configurations of the elements in the second column of the periodic table?

A 71-year-old client 48 hours after an inferior myocardial infarction suddenly becomes acutely dyspneic with pink frothy sputum. BP 88/52, HR 122, SpO₂ 83% despite high-flow oxygen. A new loud systolic murmur is heard at the apex.   What is the priority nursing action?

A 20-year-old athlete collapses during exertion. Echocardiogram shows asymmetric septal hypertrophy with dynamic LV outflow obstruction. The patient asks about risk.   Which teaching is most appropriate?