Dennis is a 28-year-old who has had asthma for 5 years. He tells you he had a “cold” last week and now feels really short of breath, especially with activity. He is unable to go to work.  He has a productive cough of thick white phlegm. Pulse ox is 96%. You auscultate expiratory wheezes in the upper and middle lobes. What treatment should you suggest? 

You suspect a patient has mixed arterial and venous vascular disease. What is the most appropriate treatment strategy? 

Catherine is a 65-year-old patient here to see you for follow-up labs two months after a new diagnosis of HFrEF. Her medications include sacubitril-valsartan, carvedilol, spironolactone, and dapagliflozin. Her current potassium is 6.0 mEq/L. What is your best intervention to keep Catherine healthy?

Sharon is a 29-year-old woman who is a new patient to your practice. She has moderate intermittent asthma. Her only medication is albuterol, which she uses PRN to relieve her cough and wheeze. Currently she uses about 2 albuterol inhalers per month and is requesting a refill today. Your best plan would be to: 

According to the Global Initiative for Chronic Obstructive Lung Disease (GOLD) COPD guidelines, for oxygen therapy to have an impact on overall survival of a patient with COPD, the O2 must be worn:

The nurse arrives for their morning shift on a hospital unit and is assigned to care for four patients. Determine which patient is the highest priority and should be seen first. Then determine which patient is the lowest priority and can be delegated to the CNA. Patient with relapsing-remitting multiple sclerosis (MS) who reports blurred vision and leg spasms. Patient with amyotrophic lateral sclerosis (ALS) who has a weak cough and is in need of supplemental oxygen. Patient with a thoracic spinal cord injury at level T12 requesting assistance evacuating their bowels.   Patient with a history of epilepsy who is due for their daily antiepileptic mediation dose. Which patient should the nurse see first? Which patient can appropriately be delegated to the CNA?

A patient diagnosed with seizures is prescribed phenytoin (Dilantin) 300 mg orally to be administered now. Using the label below, what is the total volume of suspension to be given in mL? Provide answer in whole number. Do not need to include label.  

Determine if each nursing action is urgent (should be done immediately), contraindicated (potentially harmful), or needs to be done but can wait. Place each action in the most appropriate category.

In ____________________, the brain is studied with tools such as magnetic resonance imaging (MRI) to see what is happening when people make choices,

If marginal utility is positive but declining, it follows that