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As a result of the Treaty of Paris 1783, the United States gained all of the following EXCEPT  

47. A patient with gestational hypertension is exhibiting all of the signs below. What should the nurse report immediately?

46. The nurse assesses a pregnant woman for gestational hypertension. What is the first sign of fluid retention suggestive of this complication?

What psychological term describes the feeling of being between what was and what is coming next — a space that feels both unsettling and exciting?

A 72-year-old woman with a history of type 2 diabetes mellitus is brought to the emergency department by her daughter, who reports that her mother has been increasingly confused over the past 5 days. The patient has had decreased oral intake and has been complaining of increased thirst. She recently completed a course of prednisone for a COPD exacerbation. On examination, she is lethargic but arousable. Vital signs: temperature 37.8°C (100°F), blood pressure 95/60 mmHg, heart rate 118 bpm, respiratory rate 18/min. Physical examination reveals dry mucous membranes, decreased skin turgor, and no focal neurological deficits. Laboratory results: Serum glucose: 680 mg/dL (37.8 mmol/L) Serum sodium: 152 mEq/L Serum potassium: 4.2 mEq/L Blood urea nitrogen: 48 mg/dL Serum creatinine: 1.8 mg/dL Calculated serum osmolality: 342 mOsm/kg Arterial pH: 7.36 Serum bicarbonate: 22 mEq/L Serum beta-hydroxybutyrate: 0.8 mmol/L Urinalysis: 4+ glucose, trace ketones What is the most appropriate initial management for this patient?

A 42-year-old woman presents to the clinic with progressive weight gain, fatigue, and difficulty controlling her blood glucose over the past 18 months. Physical examination reveals facial plethora, central obesity with prominent supraclavicular fat pads, and multiple purple striae greater than 1 cm on her abdomen. Blood pressure is 156/94 mmHg. She denies use of any glucocorticoid medications. Which of the following is the most appropriate next step in management?

You represent a doctor who has filed a defamation action against a nurse after the nurse published a blog that accused the doctor of being a “drug dealer.” As part of his defense at trial, the nurse seeks to offer evidence that the doctor previously operated a “pill mill” and was ultimately convicted of drug trafficking two years ago. Is the evidence of the doctor’s conviction likely to be admissible? Select one.

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You represent a victim’s estate that has filed a wrongful death action against a defendant, alleging that she murdered the victim. The victim was killed at 3:00pm, and the defendant has claimed that she could not have done it because she was at work when it happened. At trial, you called the defendant’s co-worker to the stand, expecting him to say that he noticed the defendant leave the office at 2:00pm on the day of the murder. However, on direct examination, the co-worker testified that he saw the defendant leave the office at around 4:00pm. After giving the co-worker the opportunity to explain or deny his statement made at his deposition that the defendant left the office at 2:00pm on the day of the murder, you seek to introduce the deposition statement into evidence. Is the co-worker’s statement from the deposition likely to be admissible? Select one.

A retiring dentist entered into a written agreement with an agent whereby the agent would receive a commission of 10% of the sale price if he procured a “ready, willing, and able buyer” for the purchase of the dentist’s dental practice and if the sale of the practice actually occurred. The agent found a buyer who agreed in writing to buy the practice from the dentist for $500,000, the dentist’s asking price. The buyer put up $30,000 as a down payment. The agreement between the dentist and the buyer contained a liquidated damages clause providing that, if the buyer defaulted by failing to tender the balance due of $470,000 within 60 days, damages would be 10% of the purchase price. The dentist included that clause because she was counting on using the proceeds of the sale for another business venture that would likely net her at least $50,000. The buyer became seriously ill and defaulted. When he recovered, he demanded that the dentist return his $30,000, but the dentist refused. The agent also demanded the $30,000 from the dentist and was refused. The agent and the buyer filed separate suits against the dentist, with the buyer pleading impossibility of performance. The two cases are consolidated into a single case. The dentist would like you to represent her and meets with you to discuss the case. What should you advise the dentist is the court’s most likely ruling as to the disposition of the $30,000? Select one.