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A 24-year-old male presents to his primary care physician for evaluation of recurrent fever, night sweats, and weight loss. The patient reports that he has been experiencing these symptoms for the past several weeks. After a complete physical exam and a series of laboratory and diagnostic tests, the patient undergoes an excisional lymph node biopsy (see image). The pathology report states that Reed-Sternberg cells are present. Staging evaluation determines that the patient has Stage IIB disease. Which of the following statements describes Stage IIB disease?    

A 25-year-old female presents to her primary care provider for evaluation of fatigue which has persisted for the past 6 months. She has tried multiple diets and sleep schedules to improve her condition, but none have succeeded. She has no significant past medical history. She is currently taking a multivitamin daily. Vital signs: T: 98.8°F (37.1°C), BP: 107/58 mmHg, HR: 90/min, RR: 13/min, and oxygen saturation is 98% on room air. Initial laboratory testing is obtained: Hemoglobin: 8 g/dL Hematocrit: 24% MCV: 118 Leukocyte count: 6,500 with normal differentialPlatelet count: 147,000 Physical exam is notable for decreased proprioception in the lower extremities. Which of the following is the most appropriate next step in management to confirm the diagnosis?

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?