Author: Anonymous

Esophageal Rupture (Boehaavve Syndrome) presents as:

You have a patient with Aortic Stenosis what type of murmur will you hear and anatomically where will you best hear this  murmur?    

CHAD2-VASC score for atial fibrillation stroke risk include:

When counseling a patient taking levothyroxine (synthyroid), you advise that the medication should be taken:  

A 57-year old male with atrial fibrillation and a history of angina needs medication to keep his heart rate below 100. Which medication is preferable?

With insulin resistance the body can produce 5 to 8 times the normal amount of insulin produced. What is the estimated endogenous dose of insulin in someone with insulin resistance

You have a 64-year old male who has end stage chronic kidney disease who receives dialysis 3x a week and he has severe mitral stenosis valvular disease and atrial fibrillation. According to the American College of Cardiology and the American Heart Association what medication is recommended for him with a CHAD2-VASC Score of 2?

A nurse is monitoring a COPD client who is receiving 4 L/min of oxygen by nasal cannula. The client’s respiratory rate has decreased, and they are now harder to arouse, responding only to their name, the O2 sats are 98%. Which condition should the nurse suspect?

A client with acute anxiety and hyperventilation is breathing rapidly and reports tingling in their fingers and the following ABGs.   ABGs pH 7.50 PaCO₂ 30 mmHg HCO₃⁻ 24 mEq/L Which acid-base imbalance is this client experiencing? 

A client with a known thoracic aortic aneurysm suddenly reports intense chest pain described as “ripping,” becomes pale and sweaty, and their blood pressure drops from 138/82 to 84/50 mmHg. What is the nurse’s priority action?