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Which statement correctly describes equipotential surfaces in a nonuniform electric field?

Describe the microscopic morphology of the organism shown in the image below. Based on the microscopic morphology, which of the following pairs of organisms would you suspect? E25_Week 2.png

Describe the microscopic morphology of the organism shown in the image below. Based on the microscopic morphology, which of the following pairs of organisms would you suspect? E25_Week 2.png

CASE STUDY Nurse’s Note: 1015 – 68-year-old male client brought to the emergency department by significant other. Client reports waking up this morning and being “unable to breathe.” The client was treated for bronchitis 3 weeks ago by their primary care provider. Client reports no pain, nausea, vomiting, or difficulty urinating. Last bowel movement was yesterday. Skin is cyanotic and client is diaphoretic. Clubbing of nail beds present. Lungs are diminished in bilateral bases. Client has a productive cough. Sputum is thick, whitish-yellow color. Pedal pulses 2+ bilaterally. Skin turgor greater than 2 seconds. Labs, chest x-ray (CXR), and arterial blood gas (ABG) obtained. History and Physical: 1015 – Hypertension, Hyperlipidemia, Hypothyroidism; Bronchitis 3 weeks ago was treated with antibiotics; Smoker for past 40 years, smokes 2 packs per day; Denies daily alcohol use. Vital Signs @ 1015  Temperature 37.1° C (98.8° F)Heart rate 100/minRespiratory rate 26/minBlood pressure 164/90 mm HgOxygen saturation 84% on room air  Diagnostic Results: 1030  Lab Client Result Normal Value Range Sodium 142 mEq/L 136-145 mEq/L Potassium 4.8 mEq/L 3.5-5 mEq/L Calcium 9.5 mg/dL 7.6-10.4 mg/dL Hemoglobin 16 g/dL 14-18 g/dL Hematocrit 46% 40%-52% WBC 7000 mm³ 5000-10000 mm³ ABG: pH 7.25 7.35-7.45 PCO2 50 mmHg 35-45 mmHg HCO3 24 mEq/L 22-26 mEq/L 1045 – CXR: hyperinflation of lungs with flattened diaphragm Provider Prescriptions @ 1130: Admit client to telemetry unit. Place client on a high-calorie diet. Oxygen at 3 L/min via nasal cannula Albuterol 5 mg via nebulizer every 4 hr  Prednisolone 60 mg PO daily Obtain 12-lead ECG. Metoprolol 50 mg PO twice daily  Place on fall precautions. Collect sputum culture. Azithromycin 500 mg PO daily for 3 days Nurse’s Note: 1145 – Client admitted to telemetry unit with diagnosis of Chronic Obstructive Pulmonary Disorder (COPD) due to emphysema. Client states they have been “breathing better” since oxygen applied, but that they “feel weak.” Lungs sounds are diminished in bilateral bases. Cough is productive. Vital Signs @ 1145 Temperature 37.1° C (99.7° F)Heart rate 94/minRespiratory rate 22/minBlood pressure 158/88 mm HgOxygen saturation 90% on 3 L/min via nasal cannula For each potential prescription, specify whether it would be indicated or contraindicated for this client. 

A nurse is providing an educational session to colleagues on the unit regarding chronic obstructive pulmonary disease (COPD). Which of the following options would the nurse provide regarding associated risks of COPD?

A client at the clinic is diagnosed with tuberculosis (TB). When developing this client’s plan of care, which medications will the nurse anticipate as being prescribed as first-line agents? 

A nurse is teaching a client how to manage epistaxis (nosebleed). Which of the following instructions is appropriate to give to the client? 

A nurse is providing a client who has chronic obstructive pulmonary disease (COPD) with education regarding adapting their behavior. Which of the following describes an anticipated outcome following education of the client?

The teaching plan for a client with acute rhinosinusitis (runny nose) will need to include which of the following interventions? 

CASE STUDY Nurse’s Note: 1015 – 68-year-old male client brought to the emergency department by significant other. Client reports waking up this morning and being “unable to breathe.” The client was treated for bronchitis 3 weeks ago by their primary care provider. Client reports no pain, nausea, vomiting, or difficulty urinating. Last bowel movement was yesterday. Skin is cyanotic and client is diaphoretic. Clubbing of nail beds present. Lungs are diminished in bilateral bases. Client has a productive cough. Sputum is thick, whitish-yellow color. Pedal pulses 2+ bilaterally. Skin turgor greater than 2 seconds. Labs, chest x-ray (CXR), and arterial blood gas (ABG) obtained. History and Physical: 1015 – Hypertension, Hyperlipidemia, Hypothyroidism; Bronchitis 3 weeks ago was treated with antibiotics; Smoker for past 40 years, smokes 2 packs per day; Denies daily alcohol use. Vital Signs @ 1015  Temperature 37.1° C (98.8° F)Heart rate 100/minRespiratory rate 26/minBlood pressure 164/90 mm HgOxygen saturation 84% on room air  Diagnostic Results: 1030  Lab Client Result Normal Value Range Sodium 142 mEq/L 136-145 mEq/L Potassium 4.8 mEq/L 3.5-5 mEq/L Calcium 9.5 mg/dL 7.6-10.4 mg/dL Hemoglobin 16 g/dL 14-18 g/dL Hematocrit 46% 40%-52% WBC 7000 mm³ 5000-10000 mm³ ABG: pH 7.25 7.35-7.45 PCO2 50 mmHg 35-45 mmHg HCO3 24 mEq/L 22-26 mEq/L 1045 – CXR: hyperinflation of lungs with flattened diaphragm Provider Prescriptions @ 1130: Admit client to telemetry unit. Place client on a high-calorie diet. Oxygen at 3 L/min via nasal cannula Albuterol 5 mg via nebulizer every 4 hr  Prednisolone 60 mg PO daily Obtain 12-lead ECG. Metoprolol 50 mg PO twice daily  Place on fall precautions. Collect sputum culture. Azithromycin 500 mg PO daily for 3 days Nurse’s Note: 1145 – Client admitted to telemetry unit with diagnosis of Chronic Obstructive Pulmonary Disorder (COPD) due to emphysema. Client states they have been “breathing better” since oxygen applied, but that they “feel weak.” Lungs sounds are diminished in bilateral bases. Cough is productive. Vital Signs @ 1145 Temperature 37.1° C (99.7° F)Heart rate 94/minRespiratory rate 22/minBlood pressure 158/88 mm HgOxygen saturation 90% on 3 L/min via nasal cannula 1500: Sputum culture: positive for gram positive aerobic bacteria Nurse’s Note:  @ 1700 – Client is sweating and states, “I feel hot and nauseous.” Client appears fatigued. Color is pale. Lungs sounds are diminished in bases with expiratory wheezes. Cough is productive with larger amounts of whitish yellow in color sputum. Client leans forward to breathe. 1700:                       Lab Client Result Normal Value Range Sodium 144 mEq/L 136-145 mEq/L Potassium 4.9 mEq/L 3.5-5 mEq/L Calcium 10.2 mg/dL 7.6-10.4 mg/dL WBC 12000 mm³ 5000-10000 mm³ ABG: pH 7.20 7.35-7.45 PCO2 52 mmHg 35-45 mmHg HCO3 25 mEq/L 22-26 mEq/L Vital Signs @ 1700: Temperature 38.7° C (101.8° F)Heart rate 96/minRespiratory rate 24/minBlood pressure 146/78 mm HgOxygen saturation 88% on 3 L/min via nasal cannula The nurse is continuing to care for the client. Which of the following actions should the nurse take? (Select All That Apply)