A 70 year old man comes to the clinic with complaints that he is experiencing increased difficulty breathing over the past few days. He has a history of COPD and CAD. He was recently diagnosed with hypertension. Examination reveals no JVD, a slight increase in AP diameter of the chest, and no productive cough. Breath sounds are present, but expiratory wheezing is noted bilaterally, and he denies any chest pain. His vital signs are pulse 72, respirations 34, and BP 170/100. His current medications are Atrovent MDI, 2 puffs Q6h, NitroDur and Inderal 60 mg po bid. What is the best treatment for this patient?

A patient with HF is being switched from an ACE-I to an ARNI. What instruction should be given to safely facilitate this medication change?

Guidelines from the National Comprehensive Cancer Network (NCCN) recommends screening high-risk smokers who currently smoke with 25 pack year history and have multiple risk factors, beginning at age:

During a digital rectal exam (DRE) on a 75 year old man, the APRN suspects the patient has prostate cancer. What physical finding should make the clinician suspicious?

While assessing your patient, you gently scrape the sole of the foot with a blunt-pointed object.  You note plantar flexion of the toes and record this response as

A nurse provides education to a group of people about eye health care. Which statements by group indicate that the teaching has been understood? Select all that apply.

A nurse reviews a medical record of a patient who has had a stroke and notes that the medication route has been changed from parenteral to oral. Before administering the oral medications, which cranial nerves should the nurse assess?

The nurse is assessing a patient’s hearing problems. What actions should the nurse take in order to perform the assessment? Select all that apply.

The vital sign assessment of a person with a head injury was temperature (T), 97° F; pulse (P), 86; respiration (R), 18; and blood pressure (BP), 140/86 at 1:00. The assessment made 30 minutes later that is indicative of increasing intracranial pressure (ICP) is:

Which are components of a secondary intracranial injury? Select all that apply.