Describe a situation in which using extinction as part of differential reinforcement is not feasible?

One of the leading preventable causes of blindness in the world caused by elevated intraocular pressure leading to pressure on the optic nerve is/are: 

  Order: gentamicin 70 mg IV PB q.8h Give: ____ mL (Inject to recommended-size ____ bag.) Size of syringe to be used: ____

  Order: ranitidine 35 mg IV q.6h Give: ____ mL (Dilute further, as directed, in a ____ or ____ bag.)                                                                                                         A          B         C          D        E          F Pick the correct letter that matches the dose needed: ____

Case Study Question 3 Despite the administration of vasopressors, the patient’s condition continues to deteriorate. After a few hours, the following vital signs and lab results are observed: Vital signs: BP – 80/50 (35) (despite ongoing vasopressors) HR –  130 bpm RR – 28 breaths per minute Temperature: 39.2°C (102.6°F) SPO2: 90% on 4L NC Laboratory results: WBC: 19,000 Lactate: 6.0  Creatinine: 4.2  pH: 7.18  HCO₃⁻: 14 K – 6.8 Urine output: 10 mL in the last 2 hours  The patient is now showing signs of renal failure and metabolic acidosis. What is the priority intervention for this patient at this stage, given her declining renal function and ongoing acidosis?

Case Study Question 1 A 72-year-old female patient is recovering on the telemetry unit after a cardiac catheterization. She was ambulating to the bathroom when she reported feeling lightheaded and weak. Upon assessment, the nurse notes the following: Vital signs: Blood pressure: 90/60 mmHg (down from 120/80 mmHg 1 hour ago) Heart rate: 115 bpm Respiratory rate: 24 breaths per minute SpO₂: 94% on room air The nurse observes a rapidly expanding hematoma and active bleeding at the groin site where the femoral artery was accessed. The telemetry monitor shows the following: Based on the patient’s condition, the nurse recognizes the patient is likely experiencing hypovolemic shock due to bleeding. Which of the following interventions should the nurse prioritize, and why?  

You are the RN managing care for a patient with multiple gunshot wounds to the abdomen, and the massive transfusion protocol has been activated. Which three interrelated conditions, collectively known as the “Triad of Death,” must be closely monitored and prevented during this critical situation?

Sepsis and anaphylactic shock both fall under the umbrella of distributive shock. Please address the two following components.  1.) What is the hallmark of distributive shock? 2.) How does their pathophysiology differ?

  Order: Motrin 600 mg p.o. b.i.d Supply: Motrin 200 mg tablet Give: ____ tablet(s)

  Order: cefaclor 100 mg p.o. q.8h Give: ____ unit of dose ____