A client presents with increasing shortness of breath, fatigue, and swelling in her lower extremities. On examination, she has an elevated jugular venous pressure, bilateral crackles in her lungs, and 2+ pitting edema in her legs. Her vital signs are: blood pressure 140/85 mmHg, heart rate 90 beats per minute, and respiratory rate 22 breaths per minute. The patient’s BNP is 650. Which of the following actions should the nurse prioritize for this client? (Select all that apply.)

The home health nurse is visiting a client discharged 2 days ago after a coronary artery bypass graft. The client reports fatigue and palpitations, and the nurse connects the client to a portable heart monitor. The nurse recognizes the displayed rhythm as [diagnosis]  and should anticipate administering [medication]

Use the scrollbar to scroll down inside the area below DRY RUN INTRO REMEMBER: Throughout the exam, make sure your camera captures a side view of your proctoring environment showing Both hands, Your exam papers, Your face profile, Your computer screen (Honorlock also captures the screen separately), keyboard, and mouse, Your cell phone, muted and positioned face down. IMPORTANT: Keep an eye on the camera view popup window Near the bottom right corner of your Canvas window, you should see a popup window showing your camera view. Make sure to leave that window visible throughout your proctoring session. Do NOT minimize it (if you inadvertently do so, then you can restore it by clicking on “Webcam” on the Honorlock toolbar located at the bottom of the testing window) or obscure it, and continue to ensure that your camera view properly shows all the required items (both hands, exam papers, your face profile, etc.). While some violations may be flagged immediately (e.g., your face not being visible), the system will NOT alert you to most types of violations during the session – instead, those will be flagged during the review of the session’s recording conducted by the proctor and/or the professor. IMPORTANT: Keep an eye on the Canvas timer On the right side of the Canvas window, there is a timer showing “Time Running”. Do NOT hide that timer. Before the timer reaches 15 minutes, you must click on “FINISH UP”, and then the “Next” button below. There will be no separate alert from the system during the session – if you finish up late, then your session will be flagged when the session’s recording is reviewed. DRY RUN If this were an actual test or exam, you would now begin to take that test/exam. This is the area where you will find the test/exam questions. An example of a question is given below the Dry Run instructions so you can see how questions will appear as you take your test. You do not need to attempt to answer this question in the Dry Run. For this Dry Run, please write: “Page 1” and your name on one sheet of paper and “Page 2” on another sheet of paper. When you are finished, click on “FINISH UP” and then the “Next” button below.  

A 60kg female with a small cell cancer of the lung develops syndrome of inappropriate antidiuretic hormone (SIADH). The nurse should notify the health care provider about which assessment finding?

1.  NO CELL PHONES ALLOWED  2.  YOU MUST UPLOAD YOUR WORK UNDER THE CHAPTER 1 TEST SCRATCH PAPER ASSIGNMENT.  Turn in the scratch paper on the same day that the test is completed.  If scratch paper is not uploaded, you will receive a 0.   3.  Any evidence of the use of a math solver or AI tool will be considered academic dishonesty and will be marked incorrectly.  4.  You may input your answer in the box or leave them on the scratch paper.  (to input the answer in the box using math symbols, click on the symbol)

A healthy 3-year-old presents to the operating room for a tonsillectomy. An inhalation induction is begun with 8% sevoflurane, 70% nitrous oxide and 30% oxygen. Sixty seconds later the patient becomes tachypneic with a respiratory rate of 44 and the heart rate increases from 110 to 160 beats/min. What is the cause of the patient’s change in vital signs? 

Which “age” that we have discussed in the second half of the course has had the most significant impact on Western Civilization in today’s society?   The “ages” to choose from for the final are Nationalism, Imperialism, WWI, WWII, Cold War, Decolonization and Globalization.  Use specific examples from the time period you choose and connect those examples to current events and cultural trends.   The format of this essay should be five paragraphs with an introduction/thesis paragraph, three body paragraphs with evidence, and a conclusion paragraph.  You have 90 minutes to write your essay.

What ligament is traversed by the needle during a caudal anesthetic? 

A critically ill child presents to the operating room for an exploratory laparotomy. The child arrives to the operating with hyperalimentation solution infusion. What intervention is critical during the anesthetic if the anesthesia provider decreases the infusion rate by one-half? 

K.C. has come into the outpatient clinic and the PMHNP is going to screen for alcohol use.  Which of the following screening tools is utilized to screen for the use of alcohol?