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A nurse is caring for a 72-year-old patient with pneumonia and acute exacerbation of heart failure and is on a 1,500 mL/day fluid restriction due to decreased contractility and below normal stroke volume from the heart failure. Vital signs are temperature 38.1°C, heart rate 96, respiratory rate 22, and SpO2 92% on 2 L nasal cannula.  The patient reports, “I can feel it in my chest, but I can’t cough it up.” The nurse hears coarse crackles over the right lower lobe and observes the patient expectorating a small amount of thick, yellow-green sputum after prolonged effort. Oral intake for this shift is 700 mL. Which pairing identifies the priority problem and the action that most directly addresses its cause?  

A nurse is caring for a 19-year-old college student admitted with an acute asthma exacerbation. On arrival, the respiratory rate was 30 with audible wheezing. The patient received albuterol 2.5 mg by nebulizer, and the nurse returns 45 minutes later. The patient says, “My hands are shaking and my heart feels like it’s racing, but I can breathe so much better.” Current findings are respiratory rate 20, heart rate 110 and regular, blood pressure 122/74, SpO2 97% on room air, and faint end-expiratory wheezes in the upper lobes. The patient denies chest pain, rash, or lip swelling. Which action is most appropriate for the nurse to take?  

A nurse is assessing a 70-year-old client who has not had routine healthcare in about 10 years. The client has smoked for many years and says, “I’ve felt fine, so I never saw the point of going.” While auscultating the carotid arteries, the nurse hears a bruit over the right side of the neck. The provider orders a lipid panel. Which set of results best explains the nurse’s finding?  

A nurse is teaching a 34-year-old patient who takes insulin for type 1 diabetes and has been newly prescribed metoprolol for hypertension. The patient says, “I always know when my sugar is dropping because I get shaky and my heart starts pounding.” Which teaching point should the nurse prioritize?  

The nurse pinches the patient’s skin over the clavicle between two fingers and lets it go. The skin remains tented for 7 seconds and slowly returns to the flat position. The nurse knows this is a sign of:

From the the Opioid Discussion video, explain in detail how Tolerance occurs. Be sure to use use dopamine, opioids, and inhibitory neurons in your explanation. 

The nurse is caring for a 76 year old male notices a mole on his left cheek.  The nurse is using the ABCDE Assessment technique to document this assessment finding. When using this technique, what does the E stand for?

Which premolar has the SMALLEST discrepancy in cusp height between the buccal and lingual cusps?

BONUS: Provide the universal number of the tooth in this picture. Note: This question will be manually graded once the assessment closes. Partial credit will not be awarded.  

Project Scope Planning defines: