45. A local business woman has returned from missionary work in South Africa. She is complaining of night sweats, chest discomfort, and a persistent cough for several weeks. Which underlying diagnosis is most likely causing these symptoms? {Ans: c. Tuberculosis}47. An elderly patient is receiving nursing care at a home while recuperating from a recent knee surgery. A post-operative infection developed, and the patient has been on antibiotics for quite some time. She is complaining of a foul-smelling diarrhea, and abdominal cramping and loss of appetite. On the basis of this presentation, the provider should suspect: {Ans: b. Clostridium difficile}38. A patient presents anxious with difficulty in breathing and chest pain. An assessment reveals hypotension, muffled heart tones, and distended neck veins. There is a past medical history of pericarditis. The provider notes that there is a decrease in systolic blood pressure when the patient inhales. Which diagnosis would be considered with this presentation? {Ans: b. Cardiac tamponade (?)}1. A 45-year-old patient is found supine on the floor. Healthcare providers note pinpoint pupils, shallow respirations, and vomitus in and around the mouth. What course of action should be taken next? {Ans: b. Supplemental oxygen and suction}3.