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You respond to a report of a syncopal episode. Upon arrival you find a 32 year old female lying next to her desk at work. Patient states that she was just sitting at her desk typing when she suddenly felt a flutter sensation in her chest associated with light headedness and SOB. Co-workers laid her down to the ground and called 911. Vital signs reveal a blood pressure of 112 / 64, heart rate of 200, respirations of 12 bpm, and a pulse oximetry of 91. The EKG reveals AV nodal reentrant tachycardia (AVNRT). Which of the following medications would be the most appropriate to administer in this situation:

A patient receiving ondansetron for nausea begins to experience palpitations. The monitor shows prolonged QT interval. What should you suspect?

Your patient is exhibiting paroxysmal supraventricular tachycardia (PSVT). Vagal maneuvers are ineffective and medical control orders 12 mg of adenosine rapid IV push. The vial reads 3 mg/mL. How many milliliters will you administer?

A patient receiving magnesium sulfate reports feeling flushed and warm. What should you do?

You arrive at a  local urgent care for a female patient who arrived complaining of abdominal pain. After determining that your patient also is complaining of chest pain and meets your chest pain activation criteria and alerting the receiving facility cardiac catheterization team, you continue to appropriately manage the patient’s chest discomfort. Your next action is to administer 2.5 mg of morphine sulfate every 3–5 min until the patient has a significant reduction in their chest discomfort. The morphine is prepackaged in a 1 mg/mL syringe. How many milliliters would you administer?

When treating organophosphate poisoning, which of the following statements is correct?

A patient in premature labor is ordered terbutaline. What mechanism explains its tocolytic effect?

A nurse is assessing a patient for manifestations of late stage Parkinson’s disease. Which of the following are expected findings? Select all that apply.

The nurse is a concerned that the client in a long-term care facility has a retinal detachment. Which intervention should the nurse plan to implement first?  

Bonus: List and describe one general pathway in which eukaryotic mRNA is typically degraded in eukaryotes. (up to 5pts)