Sonya Murray is a 32-year-old with sickle cell disease.  She…

Sonya Murray is a 32-year-old with sickle cell disease.  She has been fairly healthy until this week, when she developed a cold that settled in her chest, resulting in congestion and a productive cough of thick green sputum.  She has no appetite and has not had much to eat or drink for a few days.  Today she is admitted with painful knees and back.  She says that it hurts so bad she can hardly move around and has come to the hospital for pain relief.  She says that she has been admitted to the hospital 5 or 6 times previously for similar painful episodes.  Her sclera are icteric, mucous membranes are dry, skin is warm, and knees are swollen, hot, and painful to touch.  She appears short of breath and oxygen is administered.  Vital signs are:  38.9 C, 112, 30, 96/48, 93% on 2 liters nasal cannula. The following laboratory values were reported:   Ms. Murray displays which of the following sickling triggers?

Mr. Collins is a 59-year-old male with a history of vomiting…

Mr. Collins is a 59-year-old male with a history of vomiting blood.  He has been in good health except for hypertension and “stomach problems”, including chronic indigestion and heartburn usually relieved with over-the-counter antacids.  He reports a poor appetite and recent weight loss.  Mr. Collins states that he has a very stressful job at times, and he jokes “I knew this job would give me an ulcer”.  Mr. Collins reports that last evening the heartburn was particularly bad, but he experienced relief after taking his antacids.  He awakened early today with nausea, bloody emesis, weakness, and dizziness.  He also reports black tarry stools. His wife drove him to the emergency room where he was admitted with an upper gastro-intestinal bleed. He is alert and oriented X3, breathing is quiet and unlabored.  Skin and mucous membranes are pale and dry.  There is 90 mL of dark, concentrated urine in a bedside urinal.  An endoscopy reveals esophageal metaplasia and numerous gastric and duodenal ulcers.  A chest x-ray shows normal lung fields with myocardial hypertrophy.  An electrocardiogram (ECG) shows sinus tachycardia with occasional Premature Ventricular Contractions (PVCs). Vital signs are:  36.9 C, 112, 30, 94/42, and 98% Oxygen saturation. The following laboratory values were assessed: Serum Electrolytes Na 130 mEq/L    Cl 89 mEq/L   K 6.2 mEq/L BUN 52 mg/dl   Creatinine 2.4 mg/dl   CO2 16 mmol/L Ca 7.6 mg/dL   Mag 1.5 mEq/L   Phosphorous 4.4 mg/dL Glucose 138 mg/dL   Albumin 3.0 g/dL   Lactic Acid 1.8 mEq/L   Mr. Collins develops a fever, related to his sacral ulcer.  The fever is considered to be which of the following?

Because both verapamil and grapefruit compete for the same s…

Because both verapamil and grapefruit compete for the same site on the cytochrome P-450 enzyme, the nurse teaches the patient who is prescribed verapamil is taught to avoid grapefruit juice.  The patient asks what will happen if he does drink grapefruit juice.  What is the nurse’s best response?

Use the following case study to answers questions 19-23: Cec…

Use the following case study to answers questions 19-23: Cecelia is a 72-year-old female who suffered a stroke 1 week ago. She is now attending inpatient rehabilitation and is receiving OT for 1.5 hours a day, 6 days a week to address her decreased functional status and left sided hemiplegia.   You want to improve Cecelia’s UE AROM by using diagonal movement patterns. Which frame of reference are you using to guide your treatment?