A 64-year-old Full code patient hospitalized with influenza…

A 64-year-old Full code patient hospitalized with influenza is receiving 60 L/min/80% FiO2 oxygen via high flow blender. Over the last hour, the patient becomes increasingly tachypneic. Current findings: RR 30/min SpO₂ 88% HR 110 bpm BP 132/78 mmHg Increasing work of breathing with intercostal retractions The nurse knows that he/she should position the patient in [position], take action through [action] and also prioritize notifying the [teammember] due to possible need to intubation.

A patient had her breast cancer tumor resected. Testing show…

A patient had her breast cancer tumor resected. Testing showed no signs of metastasis and suggested all cancer cells had been successfully removed. However 18 months later, the NP orders a chest x‑ray, which suggests the patient has returned with metastatic disease in her lungs. Which of the following is most responsible for this late recurrence?