A patient is brought to the emergency department who is experiencing disorientation, confusion, and fever. The patient describes visual and auditory hallucinations. The patient’s spouse states that the patient had several drinks 12 hours prior to passing out. A blood alcohol level is 0.2%.What is the recommended treatment?

A 57-year-old male, with past medical history of hypertension and hyperlipidemia, presented with an acute onset of slurred speech and right-sided weakness. He was diagnosed with an acute left middle cerebral artery (LMCA) stroke and IV tPA was administered. He was then admitted to the ICU for close monitoring. On day 3 poststroke, his focal deficits persist, and it is noted that one of his pupils is larger than the other. He subsequently becomes unresponsive and is emergently intubated and hyperventilated. Stat head CT demonstrated increasing cerebral edema and midline shift of 9.6 mm and uncal herniation without signs of cerebral hemorrhage.  What is the most appropriate next step in treatment?

A 36 -year-old patient presents with weakness, paresthesia, sensory loss, and painful eye movement with unilateral reduction in vision. The AGACNP suspects the patient has:

To quickly assess a patient’s nervous system for dysfunction, what assessment should the AGACNP perform as the priority?

A patient reports frequent nightmares. For which of these should the AGACNP assess the patient?

A 48-year-old female with a history of Grave’s disease undergoes an urgent appendectomy. Four hours after surgery she is found to be confused and diaphoretic. Her vital signs are T 102.7, HR 130/min, and BP 184/106 mm Hg and O2 saturation of 93% on RA. On physical examination there is no evidence of rigidity. An arterial blood gas ABG shows pH 7.51, pCO2 30, pO2 98. Thyroid function tests are sent.  Although awaiting the results, which of the following medications would be most appropriate to give?

A patient experiences a seizure for the first time. The spouse asks the AGACNP to explain what a seizure is. What response by the AGACNP is best?

A person has been diagnosed with multiple sclerosis and asks the AGACNP to explain the disease. What description by the professional is most accurate?

Ben, a client with insulin-dependent diabetes is hospitalized with an admitting diagnosis of diabetic ketoacidosis. Which of the following signs and symptoms would be consistent with this condition?

A patient has been hospitalized with Guillain-Barré syndrome (GBS). The patient asks how this could have occurred. What response by the AGACNP is best?