A 66-Year-Old Man in the Emergency Department Has a History

question 15

Multiple Choice

A 66-year-old man in the emergency department has a history of COPD and CO₂ retention. He is conscious and cooperative but in distress, and receiving oxygen by nasal cannula at 2 L/min. He is breathing in a tripod position and using accessory muscles. His vitals are: heart rate = 102 beats/min, blood pressure = 127/77 mm Hg, temperature = 37.5°C, respiratory frequency = 20 breaths/min with prolonged expiration and using pursed lip-breathing. Bilateral sounds with crackles and wheezing. Which of the following is most appropriate?

• A) Change to a Venturi mask and coach the patient to breathe.
• B) Intubate and ventilate.
• C) Change to a nonrebreather mask.
• D) Evaluate for NIV.

Recognize the importance of therapy in addressing not just the symptoms but the holistic well-being of individuals with sexual dysfunctions.

Understand the role of medication and psychological therapies in treating sexual and paraphilic disorders.

Appreciate the complexities surrounding sexual identity, including the concepts of transgender and cisgender identities.

Understand the psychological and social factors contributing to sexual dysfunctions and paraphilias.

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Definitions:

Protein In Urine

The presence of an abnormal amount of protein in the urine, which can be an indicator of kidney disease or other medical conditions.

Alkaline Urine

Urine with a high pH level, often a sign of certain dietary habits or health conditions.

Luteinizing Hormone

A hormone produced by the pituitary gland that plays a key role in the reproductive system, triggering ovulation in females and testosterone production in males.

Ureter

A pair of muscular tubes that transport urine from the kidneys to the bladder in the urinary system.