Mary Brown [MB] is a healthy 36-year-old woman with complaints of persistent generalized fatigue. At her annual checkup, her vital signs: heart rate (HR), 118 beats/min; blood pressure (BP), 110/60 mm Hg; oral temperature, 37°C; and respiratory rate (RR), 26 breaths/min. Her skin, conjunctiva and nail beds are pale. Laboratory results: hematocrit (Hct), 27%; hemoglobin (Hb), 9 g/dL and hypochromatic red blood cells (RBCs) are present. What type of hematologic disorder would you suspect based on MB’s laboratory values? Why?

The healthcare provider orders erythromycin 20 mg/kg/day every 8 hours in equally divided dose.The child weighs 44 pounds. How many rilligrams per dose should the nurse administer?

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.

James Dunn is a 40-year-old African American man. He presents to the physician’s office today complaining of headache. His vital signs during triage are as follows: blood pressure 165/90 mm Hg, heart rate 80 beats/minute, temperature 98.5F, weight 125 kg (275 lb), and height 5 ft 11 in. He currently has no other diagnosed medical conditions. The physician gives Mr. Dunn a prescription for lisinopril/hydrochlorothiazide (Prinzide) 10/12.5 mg with directions to take one tablet by mouth daily in the morning. (Learning Objectives 1, 3, 4, 8) 1. In which stage of hypertension would you place Mr. Dunn? 2. What lifestyle modifications should Mr. Dunn be encouraged to follow? 3. What class of antihypertensive is lisinopril/hydrochlorothiazide? 4. What would you tell Mr. Dunn about his new medication?

Case Study: Sarah's Immune Challenge Background: Sarah is a 35-year-old nurse who recently started experiencing unusual fatigue, joint pain, and frequent infections. She decided to consult her healthcare provider for a thorough evaluation. Medical History: Chronic sinus infections Family history of autoimmune diseases Recent exposure to a patient with tuberculosis (TB) Vital Signs: BP: 120/80 mm Hg Heart rate: 90 bpm Temperature: 100.4\deg F - Respiratory Rate: 20 breaths/min Lab Tests: Elevated white blood cell count Positive PPD skin test for TB Elevated levels of autoimmune markers Diagnosis: Sarah was diagnosed with an autoimmune disorder as well as latent TB. Interpret the graph: How do innate and adaptive immune responses vary over time? Immune Response Level Immune Response Over Time 15- 10- Days C Immune Type Adaptive Immunity Innate Immunity

A 42-year-old obese client with complaints of severe radiating chest pain, tightening in the chest, and dyspnea has received a diagnosis of angina pectoris. He is prescribed nitroglycerin tablets to relieve the pain attacks. During a follow-up visit, the client tells the nurse that the frequency and duration of the attacks have reduced with the use of nitroglycerin tablets, and now he is eager to take necessary precautions. The client is also a heavy smoker.a.    Why would you say that the client has angina pectoris and not myocardial infarction? b.    What instructions should the nurse give the client to prevent further attacks?     11, 12, 132. A 50-year-old stockbroker has recovered from coronary artery bypass grafting (CABG) surgery and is soon to be discharged. He is concerned about possible risks of coronary artery disease (CAD) and wants to lead a healthier lifestyle. What instructions should a nurse give to the client to prevent further CAD?    3. A client is scheduled for an…

A 65-year-old male patient, Mr. Thompson, has been admitted to the medical-surgical floor with a diagnosis of congestive heart failure (CHF). He has a history of hypertension and type 2 diabetes mellitus. Upon admission, Mr. Thompson reports shortness of breath, fatigue, and swelling in his legs and feet. His vital signs are as follows: blood pressure 160/90 mmHg, pulse 102 bpm, respiratory rate 22 breaths/min, and oxygen saturation 92% on room air.As his nurse, you are responsible for performing a comprehensive assessment and initiating appropriate interventions based on your findings.Describe the initial nursing assessment you would perform for Mr. Thompson, detailing the specific aspects you would focus on given his diagnosis and symptoms.

URN: 9833360 |PATIENT: HERMIONE GRANGERDOB: 15 APRIL 2016 | PAEDS SITUATION:Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. ' BACKGROUNDMiss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENTHer Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and…

Acute arterial occlusion of a limb, finger or toe will result in several (7) signs consistent with a stoppage of blood flow to an area. Explain the pathophysiology of the signs pallor, pulselessness and paresthesia.