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85. Based on the individual’s culture, ethnicity, and personal choices, the adult-gerontology acute care nurse practitioner can optimize the therapeutic partnership with the patient by:  

52, A 29-year-old woman presents with right upper quadrant pain that occurs after meals. She reports that the pain typically lasts for 1–2 hours after meals and slowly subsides. She has been taking over-the-counter antacids for the past month with no relief. She has no past medical history and takes a combination oral contraceptive pill for pregnancy prevention. She reports no fever, chills, or constipation, and her blood pressure is 112/73 mm Hg and heart rate is 87 beats/minute. Her physical examination is unremarkable. What would be the most appropriate test to order in this patient to further evaluate her abdominal pain?

41. A 22-year-old man presents to the emergency department after a motor vehicle collision as an unrestrained driver. He has suffered a penetrating trauma to his chest. He has muffled heart sounds, clear lung sounds bilaterally, and distended neck veins. Currently, his vital signs are BP 81/42 mm Hg, HR 123, RR 23, pulse oximetry 98%, and cardiac output 3 L/min. What is the best initial action?

14. A healthy-appearing 23-year-old Caucasian woman presents to the emergency department following a motor vehicle collision in which she was rear ended. She denies any current symptoms, and physical examination is only positive for a seat belt abrasion. She reports a history of seizures, which are now under control with carbamazepine, but otherwise has a benign medical history. The only abnormality noted in lab work is an absolute neutrophil count of 1000 cells per microliter. Based on the information provided, what is most likely cause of the neutropenia?

81. A 40-year-old female patient with no previous medical history is admitted with bilateral pulmonary emboli. The workup reveals a positive result for lupus anticoagulant, and anticoagulant therapy is planned. The patient verbalizes concern about her ability to manage the appointments and the follow-up care. The adult-gerontology acute care nurse practitioner’s most effective intervention is to:

32. A patient presents to the emergency department from a nursing facility with frank bleeding from his tracheostomy, which was placed three months ago. The bleeding started an hour prior to arrival and yesterday he had some pink tinged sputum in the morning that spontaneously resolved. Which of the following initial interventions is the most appropriate?

Normal thermal temperature for an infant age 0 to 12 months old?

76. When serving as a nurse researcher, the adult-gerontology acute care nurse practitioner is guided by which ethical principle to ensure that research participants are protected from harm or exploitation?

3. When measuring jugular venous pressure, the preferred head of bed position should be at which of the following angles?

While performing an echo on a newborn, the infant becomes lethargic, warm to the touch, redness skin color and develops tachypnea.  These are signs of?