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A client presents with stable angina.  Their spouse asks how calcium channel blockers (CCBs) relieve pain, and the nurse explains that CCBs:

A client with a history of emphysema is prescribed propranolol (Inderal) to treat hypertension.  In this situation, the nurse should assess for the presence of:

A client is brought to the emergency department with shortness of breath, a respiratory rate of 30 breaths per minute and is diagnosed with pulmonary edema. You auscultate the client’s lungs and note crackles bilaterally.  The nurse anticipates administering which drug?

A client is admitted with severe hypertensive crisis. The nurse will anticipate administering which medication?

Your client is being discharged on a long acting bronchodilator and an inhaled steroid metered dose inhaler, 2 puffs each, BID.  Which of the following statements indicate that they understood the teaching regarding these two medications (Select all that apply)?

Functional Electrical Stimulation for decreasing shoulder subluxation in patients post-CVA is MOST effective if

A client presents to the clinic with complaints of muscle aches and weakness. Upon review of their medications, the nurse notes that the client is concurrently taking fenofibrate (Tricor) and atorvastatin (Lipitor) for his high cholesterol.  The nurse suspects:

Suppose people in France decide to permanently increase their savings rate.  Predict what will happen to the French bond market in the future.  Can France expect higher or lower domestic interest rates?  

Mandatory Question: Everyone MUST answer this question (14 pts total). Question 1:  The total number of immunoglobulin genes in humans are at 2.5 x 105, whereas the total repertoire of immunoglobulin diversity is estimated at 5 x 1013. How can there be so many Ig variants? 1a. “7 Pts” One of the key features of immunoglobulin and TCR genes is that there are multiple genes present in the genome. The accompanying Table lists a hypothetical number of variable, diversity and joining genes in humans for the heavy and c light chains. From this table, calculate heavy chain diversity, light chain diversity and total diversity.   1b. “ 7Pts” Is existence of multiple genes enough to explain all Ig diversity found in B cells. What mechanisms are in place create such diversity. What is the major mechanism of creating such diversity?

  A patient is to receive 450 mg in 500 mL over 4 hours. What is the flow rate in milligrams per hour?