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94.  A 72-year-old man was admitted to the ICU after surgical control of abdominal sepsis. The patient’s shock has resolved, but he remains mechanically ventilated and could not be extubated because of agitation. After morning rounds a medical student approaches you and expresses concern that this patient is at high risk for ICU delirium which, in turn, increases mortality. She asks if there are any pharmacological options to address ICU delirium. Which of the following is currently recommended for prevention or treatment of ICU delirium in this patient?

22. When treating myasthenia gravis, what major side effect can excessive use of anticholinesterase medication cause that results in paradoxical weakness?

74. A 70-year-old patient with a history of diabetes, hypertension, arthritis, and a new diagnosis of coronary artery disease, is being discharged. The adult-gerontology acute care nurse practitioner teaches the patient that the first point of contact for health care needs is the:    

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?