When rotating to the left, at the cervical region -PLEASE SELECT ALL ANSWERS YOU CONSIDER CORRECT-

Which of the following most accurately describes the anatomical structures that will limit anterior translation (Shear) of L5 on S1?

A 61-year-old male presents to a critical access emergency department with sudden-onset, crushing chest pain radiating to his left arm and jaw, which started 30 minutes ago. He is diaphoretic and nauseated. Vital signs: BP 148/86 mmHg, HR 98 bpm, RR 24, SpO₂ 95% on room air, Temp 97.9F. The triage nurse obtains the following ECG.  (Knechtel, M.A. (2021). EKG 8.25. In EKGs for the Nurse Practitioner & Physician Assistant) The nearest PCI-capable facility is a 30-minute drive away.  What is the most appropriate treatment plan? 

A 36-year-old female presents to the emergency department with complaints of a migraine that “won’t go away”. She reports nausea, sensitivity to light and sound, and difficulty sleeping. She reports a history of migraines that occur most commonly during menstruation. She has alternated acetaminophen and ibuprofen over the last 2 days. She states she has taken 4 rizatriptan within the last 48 hours, but it has only dulled the pain for 2-3 hours, then it returns.  Vital signs are stable. The neurological and ENT exam is unremarkable. No labs performed.  What is the most appropriate treatment plan for this patient? 

A 68-year-old presents with increasing shortness of breath, fatigue, and swelling in his lower extremities over the past two weeks. On physical exam, he has bilateral pitting edema in his ankles, crackles at the lung bases, and an S3 heart sound is auscultated at the apex during early diastole. Vital signs are: BP 171/89 mmHg, Pulse 96 bpm, RR 26, SpO₂ 93% on room air. Which of the following disorder should the AGACNP be concerned for? 

Which combination of medications should be added to the medication regimen of African Americans with persistent heart failure with reduce EF despite the use of guideline-directed medical therapy?

A “thumb sign” on lateral neck x-ray may indicate epiglottitis. True or false?

A 36-year-old male is admitted to the hospital after sustaining a left femur fracture after falling off a roof while hanging Christmas lights. Orthopedic surgery is planned for tomorrow morning. Around 11 PM, the AGACNP is called by the surgical floor nurse, who reports she has given the patient IV pain medication, but he is still complaining of intense pain. The AGACNP examines the patient and notes that the left thigh is tense, swollen, and firm to the touch. He is unable to plantarflex the foot, and flexion of the knee is very limited.  There is diminished sensation to the plantar surface of the foot and a decreased dorsalis pedis pulse compared to the right leg. Vitals: BP 167/89, RR 30, Pulse 125, O2 94% on room air, Temp 99.1F What is the most appropriate action by the AGACNP?

Which of the following medications are utilized in chronic migraine management? Select all that apply.

Patient Information: Name: Mary Johnson Age: 72 Admitting Diagnosis: Acute on chronic heart failure exacerbation Medical History: Hypertension, Type 2 Diabetes, Obesity Current Complaints: Shortness of breath, fatigue, lower leg swelling Vital Signs: BP: 140/88 mm Hg HR: 95 bpm RR: 24 SpO₂: 91% on 2 L/min nasal cannula Laboratory Results: BNP: 1,200 pg/mL Potassium: 3.1 mEq/L Creatinine: 1.6 mg/dL Glucose: 186 mg/dL Current Medications: Furosemide IV Lisinopril Metoprolol Insulin glargine   The nurse is reviewing the current care plan. Drag each intervention to the appropriate category based on the patient’s current clinical status.