Who served as a role model par excellence for the new republ…

Who served as a role model par excellence for the new republic, embodying the exceptional talent and public virtue prized under the political and social philosophy of republicanism, he did not seek to become the new king of America, instead, he retired as commander in chief of the Continental Army and returned to his Virginia estate at Mount Vernon to resume his life among the planter elite?

Private __________, by which slaveholders freed the enslaved…

Private __________, by which slaveholders freed the enslaved, provided one pathway from bondage, one of the earliest efforts began in 1775 in Philadelphia, where Dr. Benjamin Rush and other Philadelphia Quakers formed what became the Pennsylvania Abolition Society.

The nurse is caring for a client in septic shock on a ventil…

The nurse is caring for a client in septic shock on a ventilator, Mean arterial pressure (MAP) is 52 despite being on norepinephrine and epinephrine intravenous medications and fluids. The client’s assessment reveals anuria on hemodylasis, skin is jaundice and liver function tests are elevated, and ABGs show severe acidosis despite being on a ventilator with 100% FiO2. The care team has exhuasted all options and now the plan is to discuss withdrawing care within the next day if there is no improvement in the patient’s status. What stage of shock is this client likely in?

A 56-year-old male automotive mechanic presents to your Inte…

A 56-year-old male automotive mechanic presents to your Internal Medicine office for a routine exam and states that “my wife made me come in to see you.”  His last office visit was 6 years ago for a broken toe, and he has had no laboratory testing or other diagnostic evaluation in the past 10 years.  HPI and the review of systems are negative except that he currently smokes cigarettes 1 pack-per-day (40 pack-year history).  The patient reports dyspnea on exertion during the past year, and hears audible wheezing at times.  He denies chest pain or pressure and is without other concerns today.  On exam, you hear faint end-expiratory wheezes in the bilateral lung bases.  The remainder of the examination is negative. Height: 5 feet 10 inches Weight: 210 lbs. BMI: 30 BP: 148/86 HR: 84 RR: 14/min T: 98.0°F O2 sat (room air): 93%   Which of the following screening tests would NOT be indicated at this time?