32. A patient presents to the emergency department from a nu…

32. A patient presents to the emergency department from a nursing facility with frank bleeding from his tracheostomy, which was placed three months ago. The bleeding started an hour prior to arrival and yesterday he had some pink tinged sputum in the morning that spontaneously resolved. Which of the following initial interventions is the most appropriate?

74. A 70-year-old patient with a history of diabetes, hypert…

74. A 70-year-old patient with a history of diabetes, hypertension, arthritis, and a new diagnosis of coronary artery disease, is being discharged. The adult-gerontology acute care nurse practitioner teaches the patient that the first point of contact for health care needs is the:    

47. A patient on the medical floor is receiving his first do…

47. A patient on the medical floor is receiving his first dose of intravenous nafcillin for treatment of bacteremia when he acutely complains of itching and a sense of his throat closing. On exam, he has urticaria noted on his trunk and tongue and lip swelling with audible stridor. His vital signs are BP 90/60, HR 120, and RR 22. Based on these findings, you are concerned for an anaphylactic reaction. Which of the following is the next best step?

63. T.W. is a 36 y/o male patient who just returned from the…

63. T.W. is a 36 y/o male patient who just returned from the operating room post open cholecystectomy. He is morbidly obese and the surgery was complicated by an iatrogenic pneumothorax and a nicked spleen. He suffered a significant amount of fluid loss and requires close supervision during recovery.  An ABG shows the following: pH 7.48, pCO2 55mmHg, HCO3 33mEq/L. Which of the following acid-base imbalances would you anticipate?