A 68-year-old male is admitted to the hospital for a COPD exacerbation. On admission, he also complains to the AGACNP of acute pain and swelling in his right great toe. The joint is warm and tender on examination. History: HTN, COPD, DM Type II, gout, and tobacco use Vitals: BP 154/88, Pulse 101, RR 26, O2 92% on 4L NC, Temp 98.4F Labs:  WBC: 13,500 /µL Hemoglobin: 13.2 g/dL Creatinine: 1.9 mg/dL BUN: 35 mg/dL eGFR: 42 mL/min/1.73m² Serum Uric Acid: 9.6 mg/dL Lactic Acid: 1.5 mmol/L CRP: 8.1 mg/dL Urinalysis: Normal Admission medications:  Methylprednisolone (Solu-Medrol) IV 80 mg every 8 hours DuoNeb (albuterol/ipratropium combo) nebulized every 8 hours  Albuterol (Ventolin) nebulizer 2.5 mg every 4–6 hours PRN Pantoprazole 40 mg PO daily Heparin 5000 units subcutaneously every 8 hours   What is the most appropriate treatment plan? 

The nurse is assessing telemetry monitors on the cardiac unit. Match each patient’s status with the most likely rhythm identified in each scenario. 

Match chronic back pain disorder with its characteristics.

A nurse is caring for a patient admitted with acute decompensated heart failure. The patient has worsening dyspnea, orthopnea, and crackles throughout both lung fields. Current vital signs: BP: 100/66 mm Hg HR: 108 bpm RR: 26 breaths/min SpO₂: 89% on 2 L/min nasal cannula Urine output: 60 mL over the past 4 hours   Which intervention should the nurse implement first?

Patient Information: Name: Mary Johnson Age: 72 Admitting Diagnosis: Acute on chronic heart failure exacerbation Medical History: Hypertension, Type 2 Diabetes, Obesity Current Complaints: Shortness of breath, fatigue, lower leg swelling Vital Signs: BP: 140/88 mm Hg HR: 95 bpm RR: 24 SpO₂: 91% on 2 L/min nasal cannula Laboratory Results: BNP: 1,200 pg/mL Potassium: 3.1 mEq/L Creatinine: 1.6 mg/dL Glucose: 186 mg/dL Current Medications: Furosemide IV Lisinopril Metoprolol Insulin glargine   The nurse is reviewing the current care plan. Drag each intervention to the appropriate category based on the patient’s current clinical status.

A patient with suspected septic shock is transferred from the emergency department to the ICU. The nurse notes the following: The patient has received 3 liters of IV crystalloid fluid. Blood cultures have been drawn. Antibiotics were started 1 hour ago. Current vitals: BP: 80/52 mm Hg HR: 126 bpm SpO₂: 93% on room air Temp: 39.5°C (103.1°F)   Despite initial treatment, the patient remains hypotensive. Which intervention should the nurse implement next to stabilize the patient’s condition?

A patient with systemic lupus erythematosus (SLE) arrives at the clinic with complaints of increased joint stiffness, oral ulcers, fatigue, and photosensitivity. She reports increased fatigue, pain, and headaches and states that she’s missed several doses of hydroxychloroquine over the past two weeks. Vital signs: Temp: 101°F (38.3°C) HR: 96 BP: 124/78 RR: 20 SpO₂: 97%. Urinalysis shows mild proteinuria.   Which nursing action is the priority?

If a student earns a grade below 69 on their first exam, what are they encouraged to do?

How many attempts are allowed for each chapter exam during the posting period?

Quizzes in this course may be taken multiple times before the due date.