Your patient is a 68-year-old female who is conscious but confused and lying supine in bed without complaint. Her daughter states that the patient was recently diagnosed with a bladder infection and has been taking antibiotics. She also states that her mother has not produced urine for two days, during which she has become increasingly confused. Physical examination reveals swelling to the face, hands, and feet; cool and moist skin; and lung sounds that are clear and equal bilaterally. HR = 104, BP = 142/88, RR = 14, SaO2 = 96%. In addition to administering oxygen and monitoring the cardiac rhythm, which of the following courses of action is most appropriate?

A) IV of NS with 250 cc fluid challenge
B) 12-lead ECG, IV of NS KVO
C) IV of NS KVO, furosemide, 40 mg
D) IV of NS KVO


B) 12-lead ECG, IV of NS KVO

Health Professions

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Which of the following symptoms is not a typical symptom of asthma?

a. Cough b. Shortness of breath c. Chest tightness d. Chest pain

Health Professions

The therapist is delivering assist-control ventilation providing a constant VT to a patient experiencing ineffective triggering. The therapist also notes that expiratory flow fails to return to baseline before the initiation of the next mandatory breath. What should the therapist do at this time to correct this problem?

A. Increase the inspiratory flow. B. Institute an inspiratory pause. C. Conduct an expiratory pause maneuver. D. Shorten the expiratory time.

Health Professions

On inspection of a patient's ECG strip, you note no identifiable P waves; rapid irregular undulations of the isoelectric line; and an irregular ventricular rhythm. In addition, the precordial cardiac rate is greater than the peripheral pulse rate. The most likely problem is:

A. 2nd degree (Wenckebach) heart block B. ventricular fibrillation C. atrial fibrillation D. ventricular tachycardia

Health Professions

Once access to the patient is obtained, if a potential spine injury is suspected, what should you immediately do?

A) Don the suitable PPE B) Stabilize the patient's head and neck C) Determine how to manage surrounding hazards D) Order mode of transport

Health Professions