A patient presents with acute on chronic HFrEF. The most likely signs and symptoms are:

A 64-year-old female presents with a 5-day history of exertional dyspnea and orthopnea. Her medical history is significant for SLE and diastolic heart failure. Chest X-ray reveals significant bilateral pleural effusions. The decision is made to perform a thoracentesis.  Which laboratory value would indicate that the effusions are a result of her known diagnosis of SLE?

A 36-year-old man is admitted for alcohol withdrawal. The patient is initially treated with lorazepam injection as needed based on the Clinical Institute Withdrawal Assessment (CIWA) scale but develops respiratory depression, requiring transfer to the ICU and mechanical ventilation. To treat the symptoms of withdrawal, the patient was started on fentanyl infusion, midazolam infusion, and propofol infusion. Attempts to lower the sedation were met with extreme agitation and dyssynchrony with the ventilator. After 5 days, dexmedetomidine was introduced. A few hours later, the patient became bradycardic and hypotensive. A crystalloid bolus was started. The electrocardiogram (ECG) shows a second degree heart block. Laboratory analysis shows the following: Labs1.jpgAdditionally, his serum osmolality gap is elevated. Which is the responsible medication for the abnormal laboratory values?

A patient presents with a new onset of chest pain, diaphoresis, ST segment depression in two contiguous leads, and a troponin I level of 0.5.  Of the following, the most likely diagnosis is:

Which of the following is true regarding symptomatic bradycardia?

The AG-ACNP is caring for a 58-year-old male patient who was recently diagnosed with CAD after having an ST-segment myocardial infarction. Based on the 2018 ACC/AHA Guideline on the Treatment of Blood Cholesterol, which option for statin therapy would be most appropriate for this client when planning for hospital discharge?

In relation to left ventricular flow: Flow represented in red hues is considered to be LV _________? _______ Flow represented in blue hues is considered LV _________? _______ NOTE: Not in relation to the transducer positioning    

An intubated patient is receiving enteral nutrition. Today she has a new onset fever, leukocytosis, and increased sputum production. Chest x-ray demonstrates right lower lobe (RLL) infiltrate. Which of the following interventions is most beneficial to decrease the incidence of this complication?

A 65-year-old female is scheduled for spinal surgery. She has a past medical history of CAD and HTN, atrial fibrillation. Her pre-op CXR is shown below. CXR4.jpg Which of the following is most helpful in predicting her risk of postoperative of respiratory failure?

3. A nurse is educating a client about fiber intake. Which statement indicates understanding?