Interpret the following ABG: pH 7.20, pCO2 65 HCO3 24

A 64-year-old female patient with PMH including stage III colon cancer is currently hospitalized on your service status post colon resection is being re-evaluated for complaint of chest pain. She tells you she is having difficulty taking a full, deep breath. Her vital signs are: Temperature 100.4, pulse 120, respiratory rate 28, BP 98/56, SpO2 88% on room air. On auscultation you note S3 and S4, otherwise her lungs are clear. Given the information presented, what is your next best step?

When choosing a diagnostic work-up plan of action, what is a good rule of thumb?

You are an AGACNP who has diagnosed a patient with hypertension. Which of the following is an appropriate treatment plan for a white patient without other comorbidities?

An ICU patient on your service has developed a pressure ulcer. Based on the following information, which stage is the pressure ulcer? Full-thickness tissue loss with necrosis of subcutaneous tissue, subcutaneous fat is visible but no other structures are exposed.

You are an AGACNP on a hospital medicine service and you are evaluating a 55-year-old female who was admitted under observation for weakness and fatigue. The nurse called you this morning as the patient is feeling worse. On exam you note ptosis and the patient endorses dysphagia and shortness of breath. You order a chest Xray which is notable for significant lymphadenopathy including prominent thymus concerning for a Thymoma. Based on this diagnostic information, which pathology do you suspect?

You are an AGACNP practicing in a MICU and caring for a 52-year-old female patient who you suspect has ARDS. Which of the following criteria are needed to diagnose ARDS?

Interpret the following ABG: pH 7.55 pCO2 20 HCO3 24

Which of the following patients with a diagnosis of pneumonia should be admitted to the ICU?

You are an AGACNP working in an adult ED caring for a patient with confusion and new onset renal failure who presented with a blood pressure of 210/100. The patient has pertinent PMH including moderate persistent asthma and coronary artery disease. Which of the following medications is most appropriate for the patient at this time?