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What is the answers of this questions Question 36 A 50-year-old female presents with intense dull pain located in the right upper quadrant in sub sternal radiating to the right scapula. The pain is associated with diaphoresis, nausea and vomiting. Which of the following will require surgical evaluation? A temperature of 101.5°F Biliary obstruction A palpable gallbladder A positive Murphy’s sign Question 37 A 51-year-old male is postoperative day 3 following the removal of a benign peritoneal mass. His heart rate is 108 beats per minute, blood pressure 104/62 mmHg, and he is reporting a bit more discomfort in his abdomen than he had yesterday. To assess for internal bleeding you order: A complete blood count CT of the abdomen with contast A comprehensive metabolic panel A kidney/ureters/bladder (KUB) radiograph Question 38 A 66-year-old female presents for risk stratification for a total knee replacement. A 12 lead EKG is completed. The AGACNP identifies sawtooth-shaped P waves at a rate of 250. There is irregular conduction of the P waves with a heart rate of 96 bpm. The patient has no cardiac history and the previous 12-lead EKG in the system is normal. What is the best next step in this patient’s care? Repeat the EKG in 24 hours Cardiology referral for evaluation and treatment of the rhythm abnormality Prescribe apixaban (Eliquis) and complete the risk statification Prescribe metoprolol for rate control and complete the risk stratification Question 39 You are rounding on an individual who had an elective hip replacement the preceding day. The individual has a temperature of 100.4 degrees, has a minimal appetite, and has been immobile since recovery. The immediate plan should include: Encourage hydration Order DVT prophylaxis including mechanical LE compression and Lovenox Encourage incentive spirometry q.1.h All of the above Question 40 A 72-year-old female presents with pain in her right thigh. She has bruises on her thigh and muscle weakness distally, near the knee. Which of the following conditions is likely causing the symptoms? Tendon rupture Arthritis Gout Musculoskeletal lesions

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