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A client with cirrhosis had endoscopic band ligation for bleeding esophageal varices 3 hours ago and is now returning to the unit, NPO with vital signs stable. On entering the room, which action should the nurse take first?

A 56-year-old with known cirrhosis is admitted with jaundice, tense ascites, and confusion. Labs show elevated bilirubin and ammonia. Which assessment or lab findings are consistent with hepatic encephalopathy and decompensated liver disease? Select all that apply.

A 54-year-old with alcohol-related cirrhosis is brought in for new confusion and daytime drowsiness. Family reports constipation for 4 days and a recent GI bleed that stopped yesterday. Exam shows disorientation and asterixis. Vitals: BP 108/64, HR 96, RR 20, SpO₂ 97% RA. Labs: albumin 2.6 g/dL, total bilirubin 4.8 mg/dL, sodium 129 mEq/L, glucose 92 mg/dL, BUN 32 mg/dL. Which finding best explains the patient’s mental status change?

During a preparticipation physical for a collegiate distance runner, the nurse reviews a 12-lead ECG showing sinus bradycardia at 52/min. BP is 114/58 mm Hg, oxygen saturation 99% on room air. The student denies dizziness, chest pain, or syncope and reports regular training. Which action is most appropriate?  

Begin typing your Movie Analysis Paper into a word document.  To earn credit for this rough draft, include the following: heading title introduction that includes a thesis statement listing the four interpersonal concepts you plan to discuss in the paper Then, begin typing detailed information for at least one of the four concepts you selected.  Before the 30 minutes ends, either save and attach (See “Add A File” button, below) your rough draft to this question space OR copy and past into this question area.

gnr ca.jpg The above image shows Gram negative Rods with clear flagella around the bacteria.  

If you double the radius of a cylinder, by what factor will its volume increase?  By what factor will its lateral surface area increase?  Explain your answer.

What’s the measure of a single angle in a polygon with `a` sides?  Enter your result below.  You can show your work for partial credit.  Give your answer to one decimal place.

What should be done if the first attempt at venipuncture is unsuccessful?

If using capillary puncture to collect the following micro-collection tube from a patient, which one would be collected first?