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A 15-year-old female admitted for treatment of new-onset acute lymphoblastic leukemia (ALL) is transferred to the PICU with acute hypoxemia, pleuritic chest pain, and tachycardia. She has a peripherally inserted central catheter (PICC) in place for chemotherapy. CT angiography confirms a pulmonary embolism (PE). Which of the following best represents the factors from Virchow’s triad that likely contributed to her PE?

A 10 year old boy with Duchenne muscular dystrophy, which is associated with weakened respiratory muscles, is admitted with pneumonia and worsening hypercapnic respiratory failure. His ABG while on 2L nasal cannula is: pH 7.28 PaCO2 62mmHg PaO2 70mmHg He is alert and cooperative with mild to moderate work of breathing. Which of the following is the MOST appropriate initial choice of respiratory support?

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Pronounce the following word.  Say the word slowly enough that it can be understood.   Hemophilia    

Pronounce the following word.  Say the word slowly enough that it can be understood.   Coagulopathy  

During the change of shift report, the oncoming nurse is told that the patient has clubbing in the upper extremities. What should the nurse expect when assessing this area?

The U.S. Constitution is the supreme law of the land, as set forth in the:

The newly admitted client on the telemetry unit was diagnosed with pericarditis.  While performing the assessment, the nurse knows which of the following findings supports this diagnosis?  Select all that apply:   

The nurse is caring for a 63 year old female with history of hypertension and complaints of shortness of breath.  Day 1: Bilateral breath sounds clear and present throughout, Weight 80kg(176 LB), Urine output 480ml/8 hours. Vital Signs: Temp-99.7, BP 108/50, Pulse 98, Resp rate-20, O2Sat 95% Room Air. Day 4: Breath sounds scattered, crackles heard bilaterally. Apical heart rate rapid and irregular. Audible s3 Gallop. Weight 82.1kg(181 LB). Urine output 320ml/8 hours. Vital Signs: Temp-98.2, BP 138/80,  Pulse 112, Resp rate-28, O2Sat 88% Room Air.  Which of the following lab values based upon patient presentation would you expect to be abnormal?