An 83-year-old male who was on the telemetry unit for a hear…

An 83-year-old male who was on the telemetry unit for a heart failure exacerbation has been transferred to the intensive care unit due to new onset atrial fibrillation with a rapid ventricular response. He was given a diltiazem bolus followed by a continuous diltiazem infusion without successful rate control. It has been less than 48 hours and direct current cardioversion is being considered. The success of electrical cardioversion is inversely proportional to which of the following?

An NP is called to assess a 76-year-old female patient who h…

An NP is called to assess a 76-year-old female patient who has a known history of systolic heart failure. The patient is being admitted to the hospital with complaints of couch orthopnea and declining activity tolerance. Oxygen saturations are lower than her usual baseline and a chest x-ray demonstrates pulmonary venous hypertension.  Which is the initial intervention in the treatment of this patient?

Case: 45 year old patient with R BKA and L knee disarticulat…

Case: 45 year old patient with R BKA and L knee disarticulation from and on the job accident where he was trapped behind the truck bumper and the wall of a wash out stall. No other internal injuries noted. Patient transferred to in patient rehab once medically stable. PT POC includes patient education, stump care, TE, TA, balance, functional mobility, stump care, and pre-prosthetic training.Of the following, what is going to be the best approach assist the patient with the psychologic impact of the injuries sustained in the accident?