A patient is scheduled for a coronary CT angiography (CCTA)….
A patient is scheduled for a coronary CT angiography (CCTA). Collaborative interventions before this procedure include which of the following: (Select all that apply.) Inform the patient that this test involves inserting a catheter into an artery in their wrist or groin. Evaluate the patient’s kidney function before sending the patient down for this procedure. Tell the patient that this test can identify if there are blockages in the coronary arteries.
Read DetailsA patient with a history of diastolic heart failure is admit…
A patient with a history of diastolic heart failure is admitted to the emergency department with severe dyspnea. The patient has pitting edema in the ankles, a blood pressure of 110/60 mm Hg, an apical pulse rate of 95, a respiratory rate of 30, and SpO2 of 90%. The most important assessment for the nurse to accomplish next is:
Read DetailsAs a PA student on your Internal Medicine Rotation, you are…
As a PA student on your Internal Medicine Rotation, you are evaluating a 28-year-old female patient who complains of “double vision” and has several abnormal findings on exam. While performing a cranial nerve exam, you notice that the patient has left-sided ptosis which seems to become more pronounced when she makes an effort to keep her eyes wide open during the exam. You also notice that her voice is becoming weaker with prolonged speaking, and she seems to have difficulty swallowing. The patient reports recent “choking” spells when eating. Which of the following conditions is the most likely diagnosis for this patient?
Read DetailsA 54-year-old female with PMH significant for alcoholic cirr…
A 54-year-old female with PMH significant for alcoholic cirrhosis and recurrent esophageal varices, who recently underwent transjugular intrahepatic portosystemic shunt (TIPS) placement, is brought to the emergency room by her daughter due to somnolence. Starting this morning, the patient has appeared sleepy, difficult to arouse, and slow to respond to questions. On physical exam, temperature is 98.6º F, BP 98/56 mmHg, pulse is 72/min, and respirations are 14/min. She repeatedly falls asleep during examination. With arms outstretched and wrists dorsiflexed, flapping of the hands is observed. Which of the following is the most appropriate treatment for this patient?
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