A client with HFrEF (EF 25%) is admitted with dyspnea, crackles, and 2+ leg edema. Vitals: BP 128/78, HR 92, RR 24, SpO₂ 93% on 2 L. The provider prescribes a medication to reduce afterload and improve forward flow. Which prescription meets this goal?

A patient with COPD on BiPAP for hypercapnic respiratory failure becomes difficult to arouse. Current ABG: pH 7.21, PaCO₂ 72 mm Hg, PaO₂ 88 mm Hg on 40% FiO₂. What is the priority action?

A 63-year-old with severe pneumonia is intubated after failing high-flow oxygen. Immediately after insertion, the monitor shows SpO₂ 89%, BP 118/70, HR 110. Breath sounds are diminished on the left and present on the right. Condensation is visible in the tube. Which action should the nurse perform first to verify and optimize endotracheal tube placement?

A 72-year-old ICU patient with septic shock is now off vasopressors. Morning labs show Hgb 6.9 g/dL (down from 8.1 yesterday). Vitals: T 37.1°C, HR 118/min, BP 94/58 mmHg, RR 22/min, SpO₂ 94% on 2 L NC. The patient is intermittently confused and pale. Which nursing actions are appropriate now?

Case: Mr. S., 69, with HFrEF (LVEF 30%) presents with 3-day weight gain of 3.2 kg (7 lb), orthopnea, and fatigue. Vitals: BP 148/86, HR 108, RR 24, SpO₂ 92% on room air. Which assessment finding is most consistent with decompensated HFrEF?

A patient with end-stage chronic obstructive pulmonary disease (COPD) is admitted to the ICU with increasing dyspnea and confusion. The patient has a history of chronic hypercapnia. Arterial blood gas (ABG) results are as follows: pH: 7.32 PaCO₂: 68 mmHg PaO₂: 54 mmHg HCO₃: 30 mEq/L The nurse notes that the patient is receiving 100% oxygen via a non-rebreather mask. The nurse understands that this high level of oxygen may lead to which physiologic response?a

What is the key factor to assess when evaluating insomnia?

A client with asthma uses a peak flow meter and records a red zone value (≤50% of personal best) along with increasing wheeze and dyspnea at rest. Which instruction is the priority?

Case: A trauma patient in the ICU has ongoing bleeding from pelvic fractures. Current labs: Hgb 6.8 g/dL, Plt 18,000/mm³, PT/INR prolonged, aPTT prolonged, fibrinogen 90 mg/dL. The team plans targeted blood product therapy. Instructions: Match each blood product in Column A with the single best indication in Column B.

Identify the title: Identify the work that does not have death.