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98. You obtain PFTs for your patient with a past medical history of CAD, DMII, Emphysema HTN who continues to smoke with a 1 pack/day history of smoking for 30 years. What would you expect to see on the PFTs for this patient?

27. A 70-year-old woman presents to your clinic for routine follow-up after an urgent care visit for an abscess on her buttock. After incision and drainage, she was prescribed clindamycin. Now, five days later, the surgical site is well appearing, but the patient has developed low-grade fevers, fatigue, and profuse, watery diarrhea about 12 times per day that is associated with sharp, crampy abdominal pain. Based on her history, you suspect C. difficile colitis. What is the first step in the treatment while awaiting culture results?

49. Adventitious breath sounds that are soft, discontinuous, non-musical, and high-pitched are best described as which of the following?

80. A 32-year-old patient who underwent an open splenectomy for a ruptured spleen is preparing for discharge. An adult-gerontology acute care nurse practitioner reviews the potential complications with the patient. The nurse practitioner emphasizes which instruction to the patient?  

43. Which of the following antibiotic regimens is most appropriate for empiric therapy in a patient with necrotizing fasciitis?

66. Ms. T.G. is an 80 y/o female initially admitted to the ICU for septic shock due to UTI. She developed acute respiratory failure and was intubated for airway protection. After 2 weeks on the ventilator she became febrile, tachycardic and tachypneic; Lactate was 3.1. You would prescribe 

62. What are the methods of securing an aneurysm? 

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?