68. A patient with a history of heart failure arrives at the emergency department exhibiting shortness of breath and lower extremity swelling. Both patient’s symptoms are a result of:  

63. T.W. is a 36 y/o male patient who just returned from the operating room post open cholecystectomy. He is morbidly obese and the surgery was complicated by an iatrogenic pneumothorax and a nicked spleen. He suffered a significant amount of fluid loss and requires close supervision during recovery.  An ABG shows the following: pH 7.48, pCO2 55mmHg, HCO3 33mEq/L. Which of the following acid-base imbalances would you anticipate?  

55. What intravenous medication can be administered to stabilize cardiac cells in the setting of the above issue (#54)?

99. The NP is called to the bedside by nursing for your patient admitted for COPD exacerbation.  This is her 3rd admission to the hospital this year however she has never required intubation. The patient’s shortness of breath has become considerably worse. She is now on a Nonrebreather at 100% FIO2 with sats 91%. She is A&O x3 but has increased work of breathing. She can barely answer any of your questions on assessment in more than 3-4 words without appearing breathless.  She is tachypneic at 27.   After 1-hour on Bipap, 10/6 40%, ABGs are as followed   7.33/PCO2 56/PAO2 74/HCO3 30 sats 93%.  What should the provider do next?

40. At what level is practice authority granted?

100. A 39-year-old patient presents to the ED with a one-day history of right upper quadrant pain, nausea and one episode of vomiting. The pt has no prior medical history. A right upper quadrant ultrasound is indicative of cholecystitis.  Labs are the following WBC 11, Bun 40, Cre 1.1  ALT 189  AST 275.  The pt undergoes an ERCP.  Overnight the patient developed a low grade 100.9 and complains of increased epigastric pain that is now band like in nature. What is the most appropriate lab to obtain for this patient?

76. When serving as a nurse researcher, the adult-gerontology acute care nurse practitioner is guided by which ethical principle to ensure that research participants are protected from harm or exploitation?

Normal respiratory rate for an infant age 0 to 12 months old?

14. A healthy-appearing 23-year-old Caucasian woman presents to the emergency department following a motor vehicle collision in which she was rear ended. She denies any current symptoms, and physical examination is only positive for a seat belt abrasion. She reports a history of seizures, which are now under control with carbamazepine, but otherwise has a benign medical history. The only abnormality noted in lab work is an absolute neutrophil count of 1000 cells per microliter. Based on the information provided, what is most likely cause of the neutropenia?

71. A 78-year-old male patient with heart failure develops a bacterial urinary tract infection secondary to an indwelling Foley catheter. The patient has a known history of allergy to penicillin and sulfonamides. The appropriate choice for antimicrobial therapy is: