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The nurse is caring for a 82-year-old female admitted to the medical unit with new onset of urinary incontinence and mild confusion. Nurses’ Notes   0930: Admitted from the emergency room with new onset of incontinence and mild confusion. Recently widowed and now living with daughter and son-in-law. Daughter reports foul-smelling, pink-tinged urine with incontinence and low-grade fever; no reports of pain or burning but noted to be restless with new onset of mild confusion. Upon admission to medical unit, alert and oriented to person only but pleasant and cooperative. Temperature 101.8 F (38.7 C), other vital signs stable. Skin dry, warm and flushed with poor turgor. Offered bedpan frequently and voiding small amounts of urine—concentrated, pinkish and foul-smelling; does not report burning or pain. Urine and blood cultures obtained; results pending.  Daughter reports Sulfa allergy. Vital Signs   Time 1000   Temp  (F/C) 101.8/F  38.7 C   P 115   RR 26   B/P 92/48 (63)   Pulse oximeter 94 (room air)   Laboratory Report   Lab Results Reference range BUN 27 10-20 mg/dL Creatinine (serum) 1.3 0.9 to 1.4 mg/dL WBC 14.1 4.5 – 10.5 x 103 cells/mm3 Potassium (serum) 3.6 3.5 to 5 mEq/L Sodium (serum) 143 135 to 145 mEq/L Urine analysis         4+ bacteriuria         WBC >10,         + hematuria Bacteriuria /HPF WBC  – Hematuria         Lactate 3.4 .6 – 2.2 mmol/L Based on the above scenario, what type of shock do you anticipate the client will be diagnosed with? 

The health care provider ordered 400 mg of dopamine in 250 mL of D5W at 20 mcg/kg/min for a 70 kg patient. Calculate the dose in ml/hr. Round to nearest tenth.  (Only place numerical answer in blank do not add ml/hr)

Midterm Essay Prompt In the works we have studied—Beowulf, Sir Gawain and the Green Knight, and selected tales from Geoffrey Chaucer’s The Canterbury Tales—we encounter heroes, anti-heroes, and complex characters grappling with themes like honor, morality, fate, and societal expectations. Choose two texts from the list below and write an essay that compares how each work portrays one of the following themes: Honor and Reputation Temptation and Testing The Role of Storytelling and Performance Gender and Power Dynamics Texts to Choose From: Beowulf Sir Gawain and the Green Knight The Wife of Bath’s Tale The General Prologue (focus on specific character portraits) The Pardoner’s Tale In your essay, make a clear argument about how each text uses its characters, plot, and setting to explore the chosen theme. Be sure to use specific textual evidence to support your claims, and reflect on how the historical or cultural context influences the work’s presentation of the theme. Aim for a 3-4 paragraph essay.

Thoracostomy tubes are used to:

Choose the two (2) mechanisms that allow the body to create or conserve heat:

Where is an apical pulse taken?

The most common insertion site for a central venous line is the:

Toward which side should all patient transfers be initiated?

Identify the oxygen device illustrated in the image below: Question 67.jpg

Extreme elevations in blood pressure can damage the brain within minutes.  In addition, moderate degrees of high blood pressure can also cause damage to which of the following organs?