The AGACNP is caring for a 42 year old male with a history of bipolar 1 disorder. The patient is admitted for acute right lower extremity cellulitis secondary to a dog bite, which is requiring broad spectrum IV antibiotics.    What is the most appropriate way the AGACNP can manage this patient’s bipolar 1 disorder? 

Organophosphate and carbamate poisoning typically results from what? 

In order to have a do not resuscitate (DNR) status, the patient must have an advanced directive first. 

*Final Exam Bonus Question* 2 points will be added to the final exam grade if answered correctly. No penalty for wrong answers.    A 31 year old male is brought into the emergency department, via emergency medical services (EMS), who was found by firefighters in a house fire. Firefighters report the patient was found in a room with significant smoke, but the fire had not moved to that room. The patient was intubated at the scene due to lethargy and significant hypoxia. All the patient’s clothes were removed at the scene. A blanket covers him.    The AGACNP is now evaluating this patient and notes a cherry-red skin color, but no actual burns to the skin. The patient is coughing frequently over the mechanical ventilator, which is set on 100% oxygen. Lung sounds are clear bilaterally. He is now somnolent, no response to pain. Pupils are 3mm, equal and reactive.  The AGACNP orders a STAT chest x-ray, ABG, CBC, and CMP.    The respiratory therapist brings the results of the ABG to the AGACNP: pH 7.23 CO2 32 O2 90 HCO3 19 Base Excess 1.5 Lactic Acid 8.9     Based on the information given, the AGACNP is suspicious for toxicity. What is the most appropriate treatment? 

What principle relates to the presence of different ethnicities, genders, sexual orientations, disabilities, and socioeconomic status? 

Which cultural group tends to opt out of social security, Medicare, and other government related programs? 

During the _________ process, previous work history and malpractice cases are reviewed.    Fill in the blank. 

The AGACNP is using a telephone interpreter to interview and assess a patient whom only speaks Russian. The AGACNP asks a question, then pauses and allows the interpreter to speak. After the patient answers the question, then interpreter then translates into English. The AGACNP continues to in this style to complete the admission H&P.    What type of interpretation is used in this situation? 

A 17 year old male presents to the urgent care with complaints of being stung by a wasp on the arm while cleaning out an old storage unit. The sting area is mildly erythematous without drainage and very mildly tender to touch. The patient complains “it just itches so bad”.  Vital signs: Pulse 66, BP 114/71, RR 16, O2 99% on room air, temp 97.9F   What is the most appropriate treatment plan? 

The female AGACNP is caring for an elderly man whom she just informed has a right lower lobe lung mass, found on a CT scan. The man is visually upset, so the female AGACNP rests a hand on his shoulder to offer comfort; however, the male patient now seems even more upset after the touch.    Which culture should the AGACNP remember to avoid touch when showing concern?