Listen to the 5th movement of Beethoven’s Septet, Op. 20 bel…

Listen to the 5th movement of Beethoven’s Septet, Op. 20 below.  As you listen, write down as many observations about elements of music as you can.  Include information about specific instruments, form, texture, tempo, rhythm, melody, harmony, imitation, timbre, and mood.  Be very specific and use complete sentences. https://www.youtube.com/embed/okJ9QDmx5fM?feature=oembed

A 61-year-old male presents to a critical access emergency d…

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 wi…

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,…

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?