Author: Anonymous

A 39-year-old patient without known cirrhosis presents with acute jaundice, confusion, INR 2.1, hypoglycemia, and markedly elevated aminotransferases. Which action is most appropriate?

A 33-year-old patient with type 1 diabetes is admitted NPO for urgent surgery. Morning glucose is 118 mg/dL. The intern suggests holding all insulin until the patient resumes eating. What is the best response?

A patient with known Addison disease presents with vomiting, abdominal pain, weakness, hypotension, sodium 126 mEq/L, potassium 5.9 mEq/L, and glucose 54 mg/dL. The patient is acutely ill and unable to tolerate oral medications. What is the priority intervention?

A patient is being discharged after an adrenal crisis. Which discharge instructions are appropriate? Select all that apply.

A 71-year-old patient presents with large-volume hematochezia, syncope, HR 124, BP 82/48, and rising creatinine. Which diagnostic assumption is safest during initial stabilization?

A provider prescribes gentamicin 2.5 mg/kg/day IM divided every 8 hours for an adult client who weighs 186 lb. Available is gentamycin 40 mg/mL. How many milliliters should the nurse administer? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)   _________ mL

Use the listening excerpt #6 to answer the following question.  This piece is from the Middle Ages.

What is the trigger for a Single Audit? Why does an entity need to have a Single Audit? 

A double-layered sac in the middle mediastinum encloses the heart. Which portion of this structure reflects around the great vessels?

During your occupational therapy assessment of a  45-year-old client presenting with abdominal pain and swelling around the umbilical region, you note tenderness in the abdominal area. The physician suspects lymphatic involvement of the structures supplied by the superior mesenteric artery.Which lymph node group primarily receives lymph drainage from these midgut structures?