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A 70-year-old female underwent a right total knee arthroplasty without complication. She was discharged to a rehab facility on post-operative day 3. Two days after her discharge from the hospital, she began experiencing pain and swelling of the right leg. Doppler ultrasound imaging at this time revealed a deep venous thrombosis in the right popliteal and tibial veins. The patient was re-admitted and started on an unfractionated heparin infusion. Five days later, doppler ultrasonography of the lower extremities revealed extension of the clot in the right lower extremity to include the common femoral, superficial femoral, popliteal, tibial, and saphenous veins. In addition, a thrombus was noted in the left common femoral vein as well. CBC showed a decrease in platelet count from 195,000/uL on admission to 83,000/uL. Which of the following is the pathophysiology of this patient’s presentation?

A 44-year-old female patient underwent elective cholecystectomy and has had multiple post-operative complications.  She has been admitted to the ICU. The nurse noted mild bleeding at the site of the IV line and the incision site during dressing changes. The patient also complained of bleeding from the gums and nose.  She was not suffering from any bleeding disorder prior to her hospitalization and she has  not received any packed red blood cell transfusions during this admission.  Initial lab results are as follows: (Abnormal results are in bold type)             PT (↑) and PTT (↑), Fibrinogen (↓), Fibrin degradation products (FDPs) (↑), Platelets (↓)             Peripheral Blood Smear:  evidence of RBC fragments and decreased number of platelets.             Which of the following conditions is the most likely diagnosis for this patient?

A 34-year-old woman presents to the emergency department with sudden-onset dark urine and pallor. She also complains of back pain and fatigue. She has a history of celiac disease. Due to inconsistent adherence to a gluten-free diet, the patient has recently developed dermatitis herpetiformis. She was started on dapsone 2 days ago. Labs are drawn, as shown below:WBC count: 11,000Hemoglobin: 8.0 g/dLPlatelets: 200,000 PT/PTT: normalSerum:Aspartate aminotransferase (AST): 15 U/LAlanine aminotransferase (ALT): 12 U/LTotal bilirubin: 3.8 mg/dLDirect bilirubin: 0.2 mg/dLHaptoglobin: 36 g/dL (normal range: 50-200 g/dL)Lactate dehydrogenase (LDH): 125 U/LA peripheral smear shows red blood cells with semicircular portions removed from the cells’ periphery (‘bite cells’). Heinz bodies are seen with methylene blue staining. Which of the following is the most likely diagnosis?

A 54-year-old man presents to his primary care physician. The man has been feeling very tired lately and thinks that he looks more pale. The physician orders a complete blood count, which shows: Hgb 8.5; WBC 1,200; platelets 70,000. The patient is referred for bone marrow biopsy (see image). Which of the following is the correct diagnosis?

A 61-year-old woman presents to your office complaining of mild fatigue and weight loss over the past 6 months. She states she has felt generally unwell and has had decreased appetite during this time frame. Her temperature is 98.1°F (36.7°C), blood pressure is 122/80 mmHg, pulse is 88/min, respirations are 16/min, and oxygen saturation is 98% on room air. Physical exam reveals splenomegaly and a nontender abdomen. A complete blood count with differential shows the following:Hemoglobin: 10 g/dLHematocrit: 30%WBC count: 166,500Diff: WBC precursors are present at all stages of maturationPlatelet count: 92,000A bone marrow biopsy is performed. Which of the following translocations is likely to be seen in this patient?

The nurse manager is educating the unit staff about ways to promote safer clinical practice. The nurse manager emphasizes that this can be done through the combination of which concepts? (Select all that apply)

Which of the following nursing interventions is indicated for a client with hearing loss, who is experiencing communication deficits?

The nurse is caring for an older adult patient who has recently withdrawn from relationships, appears depressed, and is reluctant to seek information from the nurse due to a Hearing Loss. What should the nurse focus on when interviewing the patient, to help minimize any other additional dysfunctions the patient may exhibit?

Best Practices for Communicating Clearly for Quality Care requires all team members to communicate openly, to be vigilant and accountable, to express concerns and alert team members of unsafe situations. Which of the following improvements will foster safety and “Create a Culture of Safety” (Select all that apply)

Which of the following is a legal document which provides the health care team with information regarding the client’s wishes regarding life-prolonging treatment protocols?