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A 39 year old patient with a history of urinary tract infections and uterine fibroids is admitted with a change in mental status to the ICU. Her ICU admission vital signs are the following: T 100.3 F, HR 127 (sinus tachycardia), BP 82/49 (MAP 60) on an A-line, RR 24, O2 saturation 94% on 2L nasal cannula. Which of the following would be the greatest priority for this patient?

3.1. A sub atomic particle with a positive charge [1] 3.2 Carbon dioxide [2] 3.3 A substance made up of two or more types of atoms. [3] 3.4 Hydrogen [4] 3.5 Substance with definite physical and chemical properties and a fixed composition [5]

4.3 Name the charge of the electron. (1)

A 49 year old patient intubated for respiratory failure has improved clinically. Which of the following would need to occur for the patient to be extubated? SELECT ALL THAT APPLY A. The patient would need to be trialed on Assist Control Volume Control B. The patient’s sedation would need to be stopped. C. The patient’s tube feeds would need to be stopped. D. The patient’s Train of Four would need to be 0 out of 4

Which of the following is not a known cause of shock?

1.1 When heating ice cubes, the proses is called: (1)

A 49 year old female presents to the ER after a VFib arrest, and targeted temperature management (TTM) is ordered. The nurse knows the purpose of TTM (hypothermia protocol) is:

4.2 What is the element represented by the diagram? (1)

6.8 Which phase change occurs at point D? (2)   It changes from [2] to [1]  

A 58 year old female is admitted to the ICU with pneumonia, and is intubated for hypoxic respiratory failure. Three days later, her vital signs are T 98.3F, HR 111, BP 159/79, RR 24, O2 saturation 97% on 40% FiO2, and she has a RASS of +1, an elevated BPS/CPOT, and is CAM +. Based on her signs and symptoms, what would be the most appropriate intervention?