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39. Mrs. Wilson, a 79-year-old woman with a history of hypertension and heart failure, is admitted to the medical-surgical unit for shortness of breath and fatigue. On your morning assessment, you note that she is alert but appears slightly confused. Her skin is pale and cool to the touch. She reports feeling “fluttering in her chest” and being more tired than usual. Her vital signs are: BP: 138/92 mmHg HR: 132 bpm (irregular) RR: 22/min SpO₂: 91% on room air Temp: 98.1°F (36.7°C) Telemetry shows an irregularly irregular rhythm with no identifiable P waves, a narrow QRS complex, and a rapid ventricular rate. The monitor flags the rhythm as atrial fibrillation with RVR (rapid ventricular response). Which of the following is the most serious complication Mrs. Wilson is at risk for due to her atrial fibrillation?    

When interviewing for a job, it is best to have a professional, yet relaxed and comfortable posture to indicate that you are not nervous. 

Which of the following terms best refers to a person’s use of time which violates what another deems polite or appropriate?

What would be the major product(s) for the following reaction? (You may choose more than one option if applicable)

Which compound gives rise to the H-NMR shown below?  (The letters next to each signal communicate multiplicity)

A compound with the molecular formula of C9H12 has the following H-NMR spectrum  (The numbers next to each signal show the integration of that signal)

Which proton is most readily removed and why? 

In the following disaccharide, does the linkage represent an alpha linkage or a beta linkage? 

Which proton is the alpha proton? 

 Name the following compound using IUPAC rules.  Note: If necessary, make sure you correctly use commas, dashes and/or brackets. Do not include spaces. Do not capitalize letters. Names with improper notations will be marked incorrect.