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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

The nurse is assessing telemetry monitors on the cardiac unit. Match each patient’s status with the most likely rhythm identified in each scenario. 

Which topics should the nurse include in the discharge teaching plan for a patient who has been hospitalized with chronic heart failure? (Select all that apply).

A 45-year-old patient is admitted with complaints of lightheadedness and a “racing heart.” Vitals: HR: 118 bpm BP: 124/78 mm Hg RR: 18 SpO₂: 97% on room air The ECG strip shows a regular rhythm with visible P waves and a narrow QRS complex. What is the nurse’s priority action?

A nurse is reviewing teaching with a patient newly diagnosed with dilated cardiomyopathy. Which patient statements reflect correct understanding of this condition? (Select all that apply).

3 pts. Candace presents to the clinic with her mom. Her mom is concerned about a bad tooth she has on his upper jaw. Below is an intraoral picture of the tooth and the radiograph.       You’re dentist determined the tooth needed to be extracted and asked your opinion if a space maintainer should be placed and which kind? What are the options for a space maintainer (if indicated) based on the radiographs and the teeth remaining in the mouth? Explain your reasoning.

You may use notes and the textbook during the proctored final exam.

If a student earns a grade below 69 on their first exam, what are they encouraged to do?

How many attempts are allowed for each chapter exam during the posting period?

Violet light is bent more in a prism than red light because