91. A 24-year-old woman, with history of recent upper respiratory infection, was admitted to the ICU with a week of progressive ascending weakness. On initial examination she was awake, alert, oriented, and cooperative. She had quadriparesis and areflexia. She subsequently developed respiratory distress and was intubated. Head and cervical spine CT are read as normal. A lumber puncture is performed, which reveals the following CSF profile: 0 WBCs, 0 RBCs, Protein 120 mg/dL, and Glucose 80 mg/dL. What is the next best step in management?

75. A 74-year old male is brought into the emergency department with a chief complaint of substernal chest pressure for the past 30 minutes. This is associated with nausea and diaphoresis. He has a history of angina, which was previously relieved with nitroglycerin (NTG). His pain persists despite nitroglycerin. Physical exam reveals a heart rate of 80 bpm, respiration of 30 bpm, and BP of 104/60 mmg. The EKG demonstrates ST elevation in leads II, III, and aVF. Based on these symptoms and findings, the ACNP knows that which wall of the heart is affected.  

50. What are common pathologies that produce wheezes?

41. A 22-year-old man presents to the emergency department after a motor vehicle collision as an unrestrained driver. He has suffered a penetrating trauma to his chest. He has muffled heart sounds, clear lung sounds bilaterally, and distended neck veins. Currently, his vital signs are BP 81/42 mm Hg, HR 123, RR 23, pulse oximetry 98%, and cardiac output 3 L/min. What is the best initial action?

  53. What disorder is defined by the presence of fever, jaundice, and right upper quadrant pain?

32. A patient presents to the emergency department from a nursing facility with frank bleeding from his tracheostomy, which was placed three months ago. The bleeding started an hour prior to arrival and yesterday he had some pink tinged sputum in the morning that spontaneously resolved. Which of the following initial interventions is the most appropriate?

72. A patient with a history of atrial fibrillation, who has maintained normal sinus rhythm with sotalol (Betapace), is hospitalized for acute pyelonephritis. The most appropriate antibiotic regimen for this patient is intravenous:

74. A 70-year-old patient with a history of diabetes, hypertension, arthritis, and a new diagnosis of coronary artery disease, is being discharged. The adult-gerontology acute care nurse practitioner teaches the patient that the first point of contact for health care needs is the:    

28. Which of the following pathologies is associated with central diabetes insipidus?

47. A patient on the medical floor is receiving his first dose of intravenous nafcillin for treatment of bacteremia when he acutely complains of itching and a sense of his throat closing. On exam, he has urticaria noted on his trunk and tongue and lip swelling with audible stridor. His vital signs are BP 90/60, HR 120, and RR 22. Based on these findings, you are concerned for an anaphylactic reaction. Which of the following is the next best step?