A 68-year-old male is admitted to the hospital for a COPD exacerbation. On admission, he also complains to the AGACNP of acute pain and swelling in his right great toe. The joint is warm and tender on examination. History: HTN, COPD, DM Type II, gout, and tobacco use Vitals: BP 154/88, Pulse 101, RR 26, O2 92% on 4L NC, Temp 98.4F Labs:  WBC: 13,500 /µL Hemoglobin: 13.2 g/dL Creatinine: 1.9 mg/dL BUN: 35 mg/dL eGFR: 42 mL/min/1.73m² Serum Uric Acid: 9.6 mg/dL Lactic Acid: 1.5 mmol/L CRP: 8.1 mg/dL Urinalysis: Normal Admission medications:  Methylprednisolone (Solu-Medrol) IV 80 mg every 8 hours DuoNeb (albuterol/ipratropium combo) nebulized every 8 hours  Albuterol (Ventolin) nebulizer 2.5 mg every 4–6 hours PRN Pantoprazole 40 mg PO daily Heparin 5000 units subcutaneously every 8 hours   What is the most appropriate treatment plan? 

Mr. Thompson, a 68-year-old man, comes to the clinic for a routine visit. He mentions having to get up several times at night to urinate and feeling like he can’t completely empty his bladder. He denies any pain but says his symptoms are “getting annoying.” His provider suspects benign prostatic hyperplasia (BPH).   To further evaluate the severity of Mr. Thompson’s symptoms, which question should the nurse ask?

A patient with suspected septic shock is transferred from the emergency department to the ICU. The nurse notes the following: The patient has received 3 liters of IV crystalloid fluid. Blood cultures have been drawn. Antibiotics were started 1 hour ago. Current vitals: BP: 80/52 mm Hg HR: 126 bpm SpO₂: 93% on room air Temp: 39.5°C (103.1°F)   Despite initial treatment, the patient remains hypotensive. Which intervention should the nurse implement next to stabilize the patient’s condition?

A 68-year-old patient is brought to the ED with sudden confusion, dyspnea, and lethargy. The nurse reviews the following arterial blood gas (ABG) results: pH: 7.25  PaCO₂: 68 mm Hg  HCO₃: 24 mEq/L  PaO₂: 58 mm Hg The nurse concludes the patient is experiencing .

3 pts. Candace presents to the clinic with her mom. Her mom is concerned about a bad tooth she has on his upper jaw. Below is an intraoral picture of the tooth and the radiograph.       You’re dentist determined the tooth needed to be extracted and asked your opinion if a space maintainer should be placed and which kind? What are the options for a space maintainer (if indicated) based on the radiographs and the teeth remaining in the mouth? Explain your reasoning.

You may use notes and the textbook during the proctored final exam.

A 2 kg mass is held 4 m above the ground. What is the approximate potential energy of the mass

Two charges q1and q2are separated by a distance r. If the magnitude of both charges is doubled, the force

When a twirling ice skater extends her arms, her angular momentum

The reason that my chest was not crushed when the concrete block was busted on top of me is because