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“Infra-structure” is Karl Marx’s concept meaning the area of society where ideology and culture emerge and develop

Scenario 4 A college freshman living in a dorm, reports high stress due to finals week. The patient states, “My roommate brought me in because I passed out. My stomach hurts really bad.” The patient is drowsy but arousable (GCS 13), and is hyperventilating. The skin is flushed and dry, with poor turgor. Vitals include 92/54 mmHg, HR: 128 bpm,RR: 36/min, deep and labored, Temp: 37.1°C (98.8°F), and O2 Sat: 95% on room air. Weight is 60 kg. The nurse observes the patient’s respiratory status. The type of respiratory pattern the nurse would expect to see if the patient is compensating for their current condition is [BLANK-1] respirations.

The client develops Disseminated Intravascular Coagulation (DIC) as a complication of sepsis. Which assessment finding is most suggestive of the early thrombotic phase of DIC?

The patient is being discharged. They admit they skipped insulin because they “felt too sick to eat.” The nurse determines the patient needs education regarding insulin administration at home. The nurse reviews trigger events for the patient’s DKA. The patient admitted they often skip insulin because they want to lose weight. How should the nurse educate the patient regarding this topic?

A 22-year-old college student presents to the University Student Health Center at 10:00 AM complaining of “bad indigestion.” He reports a dull, diffuse ache around his belly button that started late last night. He has no significant past medical history.The patient continues to have RLQ. Labs are completed, showing a WBC count of 16,500/mm^3 with a “shift to the left.” How should the nurse interpret this finding when communicating with the surgical team?

The client is now 24 hours post-op. He is hypotensive (BP 88/50) and his urine output has been 15 mL/hr for the last 4 hours, and complaining of pain at 7/10. Laboratory analysis shows Creatinine: 2.1 mg/dL (Baseline 0.8), Lactate: 4.5 mmol/ and WBC: 22,000/mm³. The nurse recognizes the patient is likely progressing from Peritonitis to Septic Shock. Which order should the nurse question?

The patient is actively seizing. After stopping the seizure with benzodiazepines, the provider orders Hypertonic Saline (3% NaCl). Which safety parameter is most critical for the nurse to monitor during this infusion?

A nurse reviews the assessment findings shown in the image. Which nursing precautions should be implemented to prevent complications?

A 72-year-old client is admitted with confusion, headache, nausea, and muscle cramps. Laboratory results reveal: Sodium: 124 mEq/L (Normal: 135–145 mEq/L) Potassium: 4.2 mEq/L (Normal: 3.5–5 mEq/L ) Which nursing intervention should the nurse implement first?

A nurse is caring for an older adult admitted with severe dehydration. Assessment findings include dry mucous membranes, poor skin turgor, urine output of 15 mL/hr, heart rate 118/min, blood pressure 88/54 mm Hg, and elevated BUN levels. Which nursing action is the priority?