Case Study Question 1 of 3A previously healthy 10 yo female…

Case Study Question 1 of 3A previously healthy 10 yo female presents with respiratory distress anddehydration. Upon physical assessment, you note the following:• Ill appearing, diaphoretic, with increased work of breathing, RR 30. Abdominalretractions noted.• Lung sounds diminished on right side compared to left• BP 90/50. HR 150. Cap refill 3-4 seconds• Patient has had cough/congestion starting 2 weeks ago. Patient has had fevers in thelast few days up to 102 degrees F. Family denies their child has had polyuria or polydipsia. Labwork: ABG: pH 7.29, pO2 60, pCO2 49, bicarb 26 Na+ 133, K+ 4.5, Cl- 101, CO2, 17, Glucose 190, lactate 5.6 CXR:   What is the most likely diagnosis for this patient?

23. You are running a political campaign and wish to estimat…

23. You are running a political campaign and wish to estimate, with 95% confidence, the proportion of registered voters who will vote for your candidates. Your estimate must be accurate within 3% of the true proportion of the true population. Find the minimum sample size needed if no preliminary estimate is available. 

Case Study: A CHILD WITH ACUTE LYMPHOCYTIC LEUKEMIA M.R. is…

Case Study: A CHILD WITH ACUTE LYMPHOCYTIC LEUKEMIA M.R. is a 5-year-old seen in an ambulatory clinic for loss of weight. HISTORY: The child has had a series of upper respiratory infections with accompanying herpes simplex infections and otitis media since midwinter. They have lost 5 lb during spring months. The birthing parent has noticed “easy bleeding for the last 2 weeks.” The child has five ecchymotic areas on arms and seven on legs. Gums bleed easily as well. FAMILY PROFILE: The family is intact. The child is the youngest of four children (others are 19, 16, and 14 years). The nonbirthing parent works as self-employed landscaper. The birthing parent works part-time as a substitute language teacher. DAY HISTORY: Nutrition: The child likes all foods; appetite loss noticed during spring months. The child takes one multivitamin tablet daily. Sleep: Sleeps 8 hours per night; still sleepy in morning and difficult to awaken. Recreation/school: Enjoys playing soccer or with “Barbie dolls” after school but hasn’t played soccer for the last 2 weeks because of fatigue. The child attends kindergarten at local school; they have missed 32 days since start of second semester from illness or “tiredness.” HISTORY OF PAST ILLNESSES: Immunizations up to date. No hospitalizations. No allergies. PHYSICAL EXAMINATION: Height: 43 in. (75%); weight: 32 lb (3%); BMI: 13.4; BP: 102/60 mm Hg General appearance: Listless-appearing, pale 5-year-old White female; patch in place over right eye; four ecchymotic areas approximately 3 cm × 2 cm obvious on arms. Child appears tired; had been sleeping in waiting room; their nose is draining clear fluid and they were holding hand over left ear.   M.R. is diagnosed as having acute lymphocytic leukemia (ALL). Question 2 of 4: M.R. is prescribed leucovorin after methotrexate therapy. When planning M.R.’s care, the nurse should identify what goal of leucovorin?