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What is the arthrokinematics of the wrist complex during extension and ulnar deviation?

When rotating to the left, at the cervical region -PLEASE SELECT ALL ANSWERS YOU CONSIDER CORRECT-

A 68-year-old presents with increasing shortness of breath, fatigue, and swelling in his lower extremities over the past two weeks. On physical exam, he has bilateral pitting edema in his ankles, crackles at the lung bases, and an S3 heart sound is auscultated at the apex during early diastole. Vital signs are: BP 171/89 mmHg, Pulse 96 bpm, RR 26, SpO₂ 93% on room air. Which of the following disorder should the AGACNP be concerned for? 

A 69 year old presents with shortness of breath and subject high blood pressure. Initial BP in the emergency department is 205/101 and pulse 105. He is admitted to the ICU. During his hospitalization an echocardiogram reveals a left ventricular ejection fraction of 40% and grade I diastolic dysfunction.  Which combination of medications is most appropriate to begin prior to discharge? 

Which of the following practices, environments, and/or patient populations are likely within the role and scope of practice of the adult gerontology acute care nurse practitioner (AGACNP)? Select all that apply.

A 45-year-old female presents with complaints of sharp pain in her right heel that is worse with the first few steps in the morning or after prolonged periods of sitting. She denies any recent trauma or acute illnesses. She has a history of migraines and obesity. She denies any recent new medications. On examination, there is point tenderness across the arch of the foot and pain with dorsiflexion of the toes. What is the most likely diagnosis?

A nurse is teaching a patient on continuous ambulatory peritoneal dialysis (CAPD) how to monitor for potential complications at home. Which patient statements indicate correct understanding? (Select all that apply).

A “thumb sign” on lateral neck x-ray may indicate epiglottitis. True or false?

Identify the following rhythm on ECG.  (Image obtained from Wikipedia)

Patient Information: Name: John Smith Age: 68 years Setting: Admitted to the Medical ICU for COPD exacerbation   Clinical Presentation: Diagnosis: Acute COPD exacerbation with early signs of respiratory distress Chief Complaint: “I can’t catch my breath” Recent History: Missed inhalers for 3 days, developed URI symptoms Mental Status: Awake, anxious, using accessory muscles Vital Signs: BP: 145/90 mm Hg HR: 105 bpm  RR: 30 breaths/min Temp: 99.1°F  SpO₂: 88% on room air Physical Exam: Lungs: Expiratory wheezes bilaterally, diminished bases Skin: Pale, mildly diaphoretic Cough: Productive, yellow-green sputum Position: Tripod, speaking in short phrases ABG Results (on room air): pH: 7.35 PaCO₂: 50 mm Hg PaO₂: 60 mm Hg HCO₃⁻: 27  Labs: WBC: 12,000/mm³