A 38-year-old, 155 cm, 50 kg, previously health female presents to the ICU with altered mental status, tachycardia, hypotension, and high fever. She is intubated for airway protection. Her laboratory test results reveal a markedly elevated T3 and T4 level with a decrease in thyroid-stimulating hormone level consistent with thyroid storm. Her arterial blood gas shows a pH of 7.24, PaO2 of 80, PaCO2 of 52, and HCO3 of 22. Her ventilator settings are volume control, tidal volume of 350 mL, respiratory rate of 14, positive end expiratory pressure (PEEP) of 5, FiO2 of 50%. Which of the following is the next appropriate step in management?

1. Which of the following nutrients provides the most energy per gram?

A 55-year-old male is admitted to the intensive care unit following an anterior wall STEMI s/p angioplasty with DES placement to the proximal LAD. An intra-aortic balloon pump (IABP) was placed in the cath lab in order to decrease afterload. IABP decreases afterload through which of the following?

Use the following graph to answer the question belowWhich two types of islands would you predict have the same number of species?

Revenue first business model is typically used for digital products (apps) rather than physical products.

A patient was mechanically vented for 7 days for community acquired pneumonia (CAP) and was extubated 2 days ago. His vitals and labs have been stable, but he failed the swallow evaluation by the speech therapist. What is the most appropriate intervention?

Which of the following is a potential complication of untreated OSA?

The term for a dog breed with a short, wide head (such as pugs) is:

Cephalic is pertaining to the 

The nurse is caring for a client who is verbalizing concerns related to a difficult relationship. Which responses by the nurse will block therapeutic communication and should be avoided?