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A patient is unsure of the decision to undergo peritoneal dialysis (PD) and wishes to discuss the advantages of this treatment with the nurse. Which statement by the nurse is accurate regarding PD? 

Jacque is a 31-year-old with a history of asthma for 6 years that is well controlled.  He is extremely concerned about catching COVID-19 with his history of asthma. He tells you, “I know I will die if I catch COVID. When I had bronchitis, I could barely breathe. I hear COVID is much worse.” According to the latest GINA guidelines, what should you tell Jacque? 

You suspect a patient has mixed arterial and venous vascular disease. What is the most appropriate treatment strategy? 

Betty is a 57-year-old diabetic that is new to your practice.  One of her concerns that she brings to you is that she has a “rash to my lower legs that won’t go away.”  On exam you see a brawny edema with hemoseidrin staining.  You also note that she has 2 mm of pretibial edema.  This is most indicative of:

Catherine is a 65-year-old patient here to see you for follow-up labs two months after a new diagnosis of HFrEF. Her medications include sacubitril-valsartan, carvedilol, spironolactone, and dapagliflozin. Her current potassium is 6.0 mEq/L. What is your best intervention to keep Catherine healthy?

Mrs. McGitty is an 83-year-old patient in the nursing home. She has rheumatoid arthritis and is on daily steroid therapy. She was recently exposed to TB. The initial PPD is negative. What would be your most appropriate action? 

Dennis is a 28-year-old who has had asthma for 5 years. He tells you he had a “cold” last week and now feels really short of breath, especially with activity. He is unable to go to work.  He has a productive cough of thick white phlegm. Pulse ox is 96%. You auscultate expiratory wheezes in the upper and middle lobes. What treatment should you suggest? 

According to the latest GOLD guidelines, which vaccinations would you recommend for your 60-year-old patient with COPD? Select all that apply. 

Which initial test is considered the current “gold standard” when diagnosing and evaluating HF?

At what rate in mL/hr will the nurse set the infusion pump to administer the remaining tPA dose over the prescribed time frame? (Round answer to the nearest 10th if needed; do not need to include label.)