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For longer than anyone can remember, Joe has worked the night shift at Joe’s Bar & Grill, which is open 24 hours a day. He arrives at work at 10 pm and leaves for home at 6:30 am. Joe’s Bar & Grill does not have a parking lot. Next door to Joe’s Bar & Grill is an office building, which has a row of parking spaces along the boundary separating the two neighboring parcels. The office building and the parking lot are almost completely empty every night. Despite a sign that warns parking is only for office tenants and their guests, Joe parks in the office building parking lot every night and always in the same space (the one closest to Joe’s Bar & Grill). Joe’s parking practice continues for more than ten years, which is the statutory period for adverse possession in the jurisdiction. The best argument that Joe has not acquired title by adverse possession to the parking space he has used is

Zane owns a 10-acre tract of land (Forestacre), most of which is undeveloped forest. Zane only occasionally visits Forestacre, usually to fish in a small stream that runs through the southeastern portion of the parcel. Khole owns a small alpaca farm that abuts the northwest boundary of Forestacre. Because of a surveying error, Khole mistakenly thought that he also owned a 100-foot strip of Forestacre that bordered his farm. For the past ten years, Khole has entered this forested area and cut leaf-filled branches to feed his alpacas. Khole also regularly cleared the brush from the area and sometimes cut down trees for firewood. He even put up a small sign that read “Alpaca feeding zone.” Zane recently discovered Khole’s presence on Forestacre and instituted a quiet title action. Khole counterclaimed, seeking to have title to the 100-foot tract quieted in him. Which of the following is correct?

The nurse cares for a client diagnosed with ST-segment elevated myocardial infarction (STEMI). An alteplace (tPA) infusion has been running at 0.1 mg/kg/hr for 90 minutes.  The nurse notes no change in the ST segment and the client continues to report crushing chest pain.  Which action should the nurse take FIRST?

The nurse is caring for a 201lb patient being monitored with a pulmonary artery catheter. The nurse assesses a blood pressure of 90/60 mm Hg, heart rate 110 beats/min, respirations 36/min, oxygen saturation of 89% on 3 L of oxygen via nasal cannula. Bilateral crackles are audible upon auscultation. Which of the following hemodynamic values from this patient would the nurse want to evaluate?

The nurse educator provides a class on right atrial pressure monitoring devices (RAP/CVP) in the intensive care unit.  Which action by the nurses determines that teaching has been effective?

The provider sees the patient and gives you the following orders: Administer tetanus toxoid immunization  Administer 350mL (1 unit) of O- pRBCs Initiate and titrate Norepinephrine drip per protocol Give 500mL 0.9% normal saline bolus Give Fentanyl IV push 25mcg q1 hour PRN   Which medication will you give first? Organize the medications in order from first priority to last priority. 

The nurse cares for a client with a central line.  The right atrial pressure RAP/CVP reading is 12↑.  Which is a priority action for the nurse to take? 

The nurse cares for a client diagnosed with acute myocardial infarction (MI).  The nurse notes a 3rd-degree block on the ECG strip below.  Which type of MI would the ECG below most likely indicate?  

Which assessment finding requires the nurse to contact the health care provider?

Knowing about one’s own biases and past experiences is an example of what part of multicultural counseling competence?