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Which of the following practices, environments, and/or patient populations are likely within the role and scope of practice of the adult gerontology acute care nurse practitioner (AGACNP)? Select all that apply.

A 45-year-old female presents with complaints of sharp pain in her right heel that is worse with the first few steps in the morning or after prolonged periods of sitting. She denies any recent trauma or acute illnesses. She has a history of migraines and obesity. She denies any recent new medications. On examination, there is point tenderness across the arch of the foot and pain with dorsiflexion of the toes. What is the most likely diagnosis?

A nurse is teaching a patient on continuous ambulatory peritoneal dialysis (CAPD) how to monitor for potential complications at home. Which patient statements indicate correct understanding? (Select all that apply).

A “thumb sign” on lateral neck x-ray may indicate epiglottitis. True or false?

Identify the following rhythm on ECG.  (Image obtained from Wikipedia)

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).