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Which of the following are true statements related to Sjorgren’s Syndrome? Select all that apply. 

*Bonus Question* 2 points will be added to the final exam grade if answered correctly. No penalty for incorrect answers.  A 58-year-old patient with a newly diagnosed brain tumor is admitted to the ICU. He develops severe cerebral salt wasting with a serum sodium level of 111 mEq/L. He is started on 3% saline with frequent monitoring of serum sodium levels. During treatment, the patient’s serum sodium increases to 123 mEq/L within 24 hours.  Which of the following complications is the patient at risk for?

A 27-year-old patient who is 5 month post partum presents with progressive fatigue, exertional dyspnea, and a strong craving to chew ice throughout the day.  Laboratory studies reveal the following: Hemoglobin: 8.9 g/dL (low) Hematocrit: 27% (low) Mean corpuscular volume (MCV): 72 fL (low) Red cell distribution width (RDW): Increased Total iron-binding capacity (TIBC): Elevated Which type of anemia is most consistent with this patient’s presentation and laboratory findings?

A 67-year-old patient is admitted after a gastrointestinal hemorrhage with ongoing melena and hypotension. Despite receiving intravenous fluids, the patient remains tachycardic with a blood pressure of 86/54 mmHg. Laboratory results show a hemoglobin of 7.2 g/dL. The Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) initiates measures to control the bleeding and consults gastroenterology for urgent endoscopy. Which of the following is the most appropriate next step in management of this patient’s acute blood loss anemia?

A 68-year-old man is admitted to the cardiac intensive care unit following an inferior ST-elevation myocardial infarction (STEMI). He underwent successful percutaneous coronary intervention (PCI) with placement of a drug-eluting stent to the right coronary artery (RCA). Prior to transfer from a rural critical access hospital, he was started on an intravenous unfractionated heparin infusion. On post-procedure day 1, you review his laboratory results and note that his platelet count has decreased to 70,000/µL. Review of records from the referring facility reveals his platelet count was 320,000/µL before initiation of heparin therapy. Which of the following diagnostic tests is the most appropriate next step?

A 56-year-old man presents to the acute care clinic with progressive fatigue, early satiety, and a 12-pound unintentional weight loss over the past 3 months. He also reports intermittent night sweats but denies recent infections. Physical examination reveals marked splenomegaly. A peripheral blood smear demonstrates numerous mature granulocytes with myelocytes and metamyelocytes, with 2% blasts. Laboratory Test Patient Value Reference Range CBC WBC 182,000/µL 4,000–11,000/µL Hemoglobin 13.8 g/dL 13.5–17.5 g/dL Hematocrit 41% 41–53% Platelets 610,000/µL 150,000–400,000/µL Peripheral Blasts 2% 0% Chemistry Vitamin B12 2,450 pg/mL 200–900 pg/mL LDH 620 U/L 140–280 U/L Uric Acid 9.8 mg/dL 3.5–7.2 mg/dL Diagnostic Studies BCR-ABL (PCR) Positive Negative Philadelphia Chromosome Present Absent Which of the following is the most likely diagnosis?

Which diagnostic test is most appropriate to further evaluate the morphology of the patient’s red blood cells, including cell size, shape, color, and structural abnormalities? 

What is the primary causative pathogen for vulvovaginal candidiasis? 

How is a patient’s true (corrected) calcium level best determined? 

A 28-year-old patient with Sickle Cell Disease presents to the emergency department with severe generalized pain consistent with a vaso-occlusive crisis. The patient reports pain rated 10/10 and appears tachycardic and dehydrated. Which of the following are appropriate components of acute pain management for this patient? Select all that apply.