For the following cases, what are the signs AND symptoms mentioned, whether the patient has them or not? A 35-year-old woman is seen for easy fatigue for many months. She is now 24 weeks pregnant with her 3rd child in 3 years. She does not see any obstetrician and does not take any vitamins. Lately, she has developed a taste for eating ice. She has no other complaint. Family and past history are negative. She does not smoke or drink. Physical examination is positive for pale conjunctiva, mild spooning of nails, and an II/VI systolic murmur at left lower sternal border. Stools are negative for occult blood.

A 70-year-old man comes to the office due to 3 weeks of unrelenting low back pain.  He was grocery shopping when he first noticed the pain.  The patient reports no trauma or leg weakness but describes having to strain to urinate.  He has a history of hypertension and hyperlipidemia and has not seen a doctor in the past 5 years.  His wife died a year ago, and he now lives alone.  The patient is a retired construction worker and has a history of tobacco and marijuana use.  There is tenderness in the lower vertebral area.  Imaging study of the spine reveals several osteoblastic lesions in the lumbar vertebrae.  Which of the following structures was most likely involved during the spread of this patient's disease? Azygos veins Internal iliac lymph nodes Pampiniform plexus Paraaortic lymph nodes Prostatic venous plexus Vertebral artery

Rashidah is a 55-year-old female who is experiencing acute chest pain and shortness of breath. She describes the pain as “pressure and squeezing.” When she becomes nauseous and light-headed, her son insists that he take her to the emergency room.   Health History: She started smoking when she was 18, attempted to quit several times in her 40s, and had her last cigarette on her 50th birthday. She has been overweight for most of her adult life but has gained 20 pounds in the last few years, which increased her BMI to 34. The last time she had a physical exam was when she turned 50. Her vital signs and blood test results from that exam are listed below.   BP: 178/90 HDL: 62 mg/dl LDL: 190 mg/dl Triglycerides: 174 mg/dl Total cholesterol: 252 mg/dl Fasting blood glucose: 128 mg/dl Rashidah quit smoking 5 years ago but still suffered a myocardial infarction. She is tempted to start smoking again since quitting “obviously didn’t make me healthier.” What does research tell us about her future…

Spencer Question: if he is hospitalized how we will be able to care for Spencer and his family?  Case study: Identification: Spencer is an 11 month old male who has been brought into Ed by his mother and father at sixteen 00 hours following referral by their GP. Situation: Spencer has had vomiting for the last 16 hours and now has diarrhoea. His parents reportes that he is having decreased oral intake and is vomiting everything that he eats and drinks. He is now having liquid stools in every nappy change. Background: Spencer is normally well and up to date with immunizations. Assessment: Spencer is being held by his father, is crying softly. he is pale. Temperature 37.8 degrees Celsius, heart rate 160, respiratory rate 48, spo 2 99% RA. Recommendations: Spencer has been diagnosed with moderate dehydration caused by viral gastroenteritis. He has been prescribed ondansetron and is fork trial of oral rehydration. If this fails over the next hour, Spencer will require NG rehydration.

Mr. Cardia has been admitted to your ward and care is assigned to you. Information from the history you have taken includes reporting 4 days of anorexia, nausea, vomiting, and occasional diarrhoea before he sought medical attention. His wife says he'd started falling asleep frequently, looked pale, and mentioned seeing yellow spots. Current medications: 0.25 mg of digoxin once a day and 20 mg of frusemide twice a day for heart failure. Vital signs: BP 110/60 P 46 RR 26 T 36.5 What may the signs and symptoms indicate? (two words)

A 65-year-old woman gives a 1- to 2-month history of progressively cold and numb fingertips. The symptoms are persistent but episodic. She is a non-smoker. She also has a history of leukemia. Her feet are normal, and physical examination is otherwise unremarkable. All pulses are present. Her blood count and peripheral blood smear show: Hemoglobin (Hb) 90 g/L White blood cells (WBC) 14.6 × 109/L (neutrophils 67%) Platelets 1246 × 109/L Giant platelets RBCs (vary in size) Neutrophils (irregular forms) Other tests are normal What possible developments in hematology might help diagnose the patient? List all that apply. What are the terminologies in Hematology that are aligned with the patient’s case? List all that apply and explain why. By reviewing the timeline history of hematology, what are the specific contributions that will help solve the patient’s disease? List all that apply and explain why.

---A patient was brought into emergency department with an acute onset of central crushing chest pain. Outline four nursing actions and rationales that you would be required to deliver within the first two hours of patients admission to emergency department.

All of the following are the most common ways that patients with HF present in a primary care setting except_____________?   Fluid retention   Sleep apnea   Dyspnea   Decrease exercise tolerance

A nurse is caring for a client who has schizophrenia in an inpatient facility. Exhibit 1 Medication Administration Record 0730: Clozapine 100 mg PO daily Aripiprazole 5 mg PO daily Multivitamin PO daily Exhibit 2 Laboratory Results 0730: Sodium 125 mEq/L (136 to 145 mEq/L) Potassium 3.5 mEq/L (3.5 to 5.0 mEq/L) Chloride 90 mEq/L (98 to 106 mEq/L) BUN 8 mg/dL (10 to 20 mg/dL) Magnesium 1.2 mEq/L (1.3 to 2.1 mEq/L) Exhibit 3 Vital Signs 1230: Temperature 37.6° C(99.7°F) Heart rate 98/min Respiratory rate 20/min Blood pressure 142/92 mm Hg Oxygen saturation 100% on room air 1500: Temperature 37.1° C(98.8° F) Heart rate 104/min Respiratory rate 24/min Blood pressure 150/90 mm Hg Oxygen saturation 100% on room air Exhibit 4 Nurses' Notes 0730: Client sleeping. Lungs clear to auscultation bilaterally. Hyperactive bowel sounds noted x 4. Abdomen soft and nontender. Small bruise noted on right hand. Family at bedside. Family states client is diagnosed with schizophrenia, and last doctor's…

S. is a 66-year-old African American woman who presents to your practice for a well-adult physical checkup. She is widowed and works part-time as a mental health technician to support herself. Family history includes father deceased from a stroke at age 50 years, mother living with hypertension and type 2 diabetes mellitus, a half-sister deceased with breast cancer, and a brother with pancreatic cancer and coronary artery disease and end-stage renal disease secondary to type 2 diabetes mellitus. S. has not seen a health-care provider for several years because she had no health insurance. Now she has Medicare, so she is coming in for care. She is a former smoker who quit 5 years ago after smoking 1 pack per day since age 20 years. She has four grown children, all of whom live nearby, and she has eight grandchildren. Vital signs are blood pressure (BP) 150/92, heart rate (HR) 76 (reg), respiratory rate 18 breaths per minute (bpm) (afebrile), and body mass index (BMI) 32.1. What would…