Ms. Alvarez, 78, with HTN and HFpEF comes for fatigue. Home meds: losartan 50 mg daily, furosemide 20 mg daily, apixaban 5 mg BID. Vitals: BP 124/70, HR 88 irregular, RR 16, SpO₂ 97% RA. She denies chest pain. Later that evening she becomes anxious with palpitations. Vitals: BP 102/64, HR 170 irregular, RR 22, SpO₂ 95% RA. Student prompts (answer in complete sentences) Identify Rhythm Strip 1 and Rhythm Strip 2. Describe the ECG features distinguishing them. Is Ms. Alvarez (strip 1)currently stable or unstable? Defend your answer with data. Outline your first three nursing actions for Strip 2. If she became hypotensive with altered mental status, what immediate therapy is indicated and why?  

During a preparticipation physical for a collegiate distance runner, the nurse reviews a 12-lead ECG showing sinus bradycardia at 52/min. BP is 114/58 mm Hg, oxygen saturation 99% on room air. The student denies dizziness, chest pain, or syncope and reports regular training. Which action is most appropriate?  

A 54-year-old with alcohol-related cirrhosis is brought in for new confusion and daytime drowsiness. Family reports constipation for 4 days and a recent GI bleed that stopped yesterday. Exam shows disorientation and asterixis. Vitals: BP 108/64, HR 96, RR 20, SpO₂ 97% RA. Labs: albumin 2.6 g/dL, total bilirubin 4.8 mg/dL, sodium 129 mEq/L, glucose 92 mg/dL, BUN 32 mg/dL. Which finding best explains the patient’s mental status change?

A client newly diagnosed with rheumatoid arthritis asks, “Which medicine actually slows or prevents joint damage over time?” Which medication class should the nurse emphasize during teaching?  

Begin typing your Movie Analysis Paper into a word document.  To earn credit for this rough draft, include the following: heading title introduction that includes a thesis statement listing the four interpersonal concepts you plan to discuss in the paper Then, begin typing detailed information for at least one of the four concepts you selected.  Before the 30 minutes ends, either save and attach (See “Add A File” button, below) your rough draft to this question space OR copy and past into this question area.

NG JEM.jpg This plate is commonly referred to as the JEMBEC plate. It is used to selectively grow ____________________ [BLANK-1]

Find the measures of angles A, B, C and D.  Show your work in the file that you upload.

Find the area of the figure below.  Show your work and results in the file that you upload.

A silo is made from a `a` meter tall cylinder with a `b` meter diameter capped with a `c` meter high cone.  What volume will the container hold?  Enter your answer below to one decimal place.  You can show your work for partial credit.

After the last tube has been filled, what is the proper order of actions?