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A nurse is caring for a client in the Medical-Surgical Unit. Nurses Notes: Day 1:  Client has a 10.2 cm (4 in) by 10.2 cm (4 in) raised, reddened abscess on left thigh. The client reports that the area is warm and painful. Vital Signs: Temp – 39.6 C (103.3)F; BP – 118/56 mm Hg; HR – 106/min; RR – 22/min; O2 Sat 96% (RA) Diagnostic Results Day 2: CBC: WBC 45,000/mm3 (5000 to 10,000/mm3) Wound Culture and Sensitivity:  sample taken from left thigh abscess POSITIVE for methicillin-resistant Staphylococcus aureus (MRSA)  ** Please designate whether the intervention are: ANTICIPATED (2 of 2 needed); CONTRAINDICATED (2 of 2 needed); or NONESSENTIAL (1 of 1 needed).

A nurse is reviewing the laboratory results of a client who has acute leukemia and received an aggressive chemotherapy treatment 10 days ago.  Which of the following hematologic laboratory values should the nurse expect? (Select all that apply.)

Scenario: The client is a 17-year-old male who lives with his family on a farm in a rural community.  The client has 4 siblings that were recently ill with: stomach pains, vomiting, diarrhea, and fever.  The siblings were seen by their PCP and diagnosed as having viral gastroenteritis. A week later the client woke at 03:00 stating that his stomach pain was 8-9/10, and began to vomit several times over the next few hours, so his parents brought him in to the ER for evaluation. He is seen guarding his abdomen, and moaning. Vital signs on admit: BP: 128/78; HR: 130 bpm; RR: 28; O2 94% on RA Iv access is obtained and orders are received for “MORPHINE SULFATE 2mg x 1 NOW IVP”. Which findings are common clinical manifestations of appendicitis? (Select all that apply)

An RN on a behavioral health unit is assessing a client. The RN plans to delegate part of the nursing process to a licensed practical nurse (LPN). Which of the following statements by the RN indicates appropriate delegation to the LPN?

A nurse is caring for a client who has Cushing’s syndrome. Which of the following interventions should the nurse expect to perform? Select all that apply.

A nurse in the emergency department is caring for a female client. Nurses’ Notes The client appears lethargic and reports fatigue, a decrease in appetite, and a 20-lb weight gain over a 6-month period. The client also reports: hair loss, numbness, and tingling in fingers, and constipation Physical assessment: Neck midline with a 1+ goiter; Skin is pale, cool, and dry; Abdomen is distended; Bowel sounds are hypoactive. Vital Signs Temp: 35.9º C (96.6º F); BP: 88/60 mm Hg; HR: 58/min; RR: 14/min; O2 Sat: 93% (RA) Diagnostic (Lab) Results (0800) Cortisol (serum) 16 mcg/dL (5 to 23 mcg/dL) Serum T3 60 ng/dL (70 ng/dL to 205 ng/dL) Serum T4 (total) 3 mcg/dL (5 mcg/dL to 12 mcg/dL)    Review the choices below to specify (A) what condition the client is most likely experiencing, (B) The 2 actions the nurse should take to address that condition, and (C) The 2 parameters the nurse should monitor to assess the client’s progress. A) Condition the client is experiencing [condition1] B) 2 Actions the nurse should take: [action1], [action2] C) 2 Parameters that the nurse should monitor for: [parameter1], [parameter2]

The nurse is caring for a 25-year old client admitted with an intense thirst and dilute, excessive urine output (15 L/day).  What does the nurse suspect?

SEU’s capsid symmetry is ___.

Explain how a mutation could decrease the virulence of the virus.  Recall this mutation is in the glycoprotein that mediates membrane fusion.  Answer this question by addressing the prompts A-D below. Which of the viruses is the least virulent?   Provide evidence from the end-point dilution assay to support your answer. (one sentence max) Which step(s) of the infection cycle is affected by this protein. (one sentence max) What is the role of this protein in membrane fusion (you must thoroughly describe the process of membrane fusion and the role of the glycoprotein in the process). (5 sentences max) How would this specific mutation negatively affect membrane fusion. (3 sentences max)

SEU is a(n) [12] virus.