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7)  A 3-year-old child is brought to the emergency department after suddenly coughing and choking while eating peanuts. The child has inspiratory stridor, persistent coughing, and decreased breath sounds in the right lung. A chest x-ray is inconclusive. The healthcare provider schedules an emergency bronchoscopy. Which statement best explains the primary purpose of this diagnostic procedure?

A patient with a history of mild penicillin allergy is prescribed cefepime for a severe infection. Which nursing action is most appropriate when administering the medication?

Identify which projection is shown:

The central ray for an AP internal rotation of the shoulder is directed:

In a lateral projection of the scapula with the patient in an LAO position, the central ray enters the:

The central ray angle and direction for a lateral knee is:

DRUG THERAPY OF HYPERTENSION   1) CALCIUM CHANNEL BLOCKERS (CCBs) Examples: DHP: Amlodipine, Nifedipine, Nicardipine Non-DHP: Verapamil, Diltiazem MOA Block L-type Ca²⁺ channels → ↓ vascular tone + ↓ cardiac activity (non-DHP) Effects Vasodilation → ↓ afterload ↓ myocardial O₂ demand ↑ coronary perfusion Uses HTN (first-line option) Pregnancy HTN (safe) Angina SVT (non-DHP) PAD AEs DHP: Edema Flushing Reflex tachycardia Non-DHP: Bradycardia AV block Worsening HF Gingival hyperplasia Constipation (verapamil)   2) DIRECT VASODILATORS 1. Hydralazine Arteriolar vasodilator Uses: pregnancy HTN, HF (with nitrates) AE: drug-induced lupus, tachycardia 2. Minoxidil K⁺ channel opener → arteriolar dilation AE: hypertrichosis, pericardial effusion 3. Sodium Nitroprusside Sodium nitroprusside NO donor → balanced arterial + venous dilation Use: hypertensive emergency (ICU only) AE: cyanide toxicity (life-threatening)   3) SYMPATHOLYTICS   1. Central α2 agonists: Clonidine, Methyldopa MOA ↓ sympathetic outflow → ↓ HR, CO, renin Uses Resistant HTN Methyldopa = drug of choice in pregnancy AEs Sedation, dry mouth Rebound HTN (clonidine withdrawal) Hemolytic anemia (methyldopa)   2. α-Blockers α1 blockers: Prazosin MOA: vasodilation → ↓ BP Uses: HTN + BPH AE: first-dose orthostatic hypotension α1 + α2 blockers: Phentolamine (pheochromocytoma emergency) Uses: Pheochromocytoma crisis Catecholamine extravasation AE: reflex tachycardia   3. β-Blockers: Metoprolol, Propranolol, Carvedilol, Labetalol MOA ↓ renin (kidney) ↓ HR + contractility → ↓ CO Uses Post-MI HFrEF (selected agents) HTN with tachycardia Pregnancy HTN (labetalol) Pheochromocytoma (with α-blockade) AEs Bradycardia, AV block Bronchospasm (non-selective) Mask hypoglycemia Sexual dysfunction CNS effects (fatigue, depression) Rebound HTN if stopped abruptly   Question: A 55-year-old patient is treated for hypertensive emergency in the ICU with a continuous IV medication. Shortly after initiation, the patient develops confusion, tachycardia, and metabolic acidosis. Laboratory testing reveals elevated lactate levels. Which medication is most likely responsible?

What is the degree of rotation for an AP oblique with medial rotation of the foot?

The medial aspect of the clavicle is called the:

The inferior angle of the scapula is located at what vertebral level?