A 32-year-old patient presents with painless oral ulcers, photosensitive rash, and morning stiffness in the hands. Urinalysis shows trace protein. The clinician wants one laboratory test to screen for suspected systemic lupus erythematosus before ordering more specific assays. Which test should be ordered first?  

A patient with decompensated cirrhosis missed several doses of lactulose and is now more forgetful. Which assessment findings are most consistent with hepatic encephalopathy? Select all that apply.

You and the Rapid Response team are dispatched to four units at once. Who do you see first?  

A 56-year-old with known cirrhosis is admitted with jaundice, tense ascites, and confusion. Labs show elevated bilirubin and ammonia. Which assessment or lab findings are consistent with hepatic encephalopathy and decompensated liver disease? Select all that apply.

Ms. Alvarez, 78, with HTN and HFpEF comes for fatigue. Home meds: losartan 50 mg daily, furosemide 20 mg daily, apixaban 5 mg BID. Vitals: BP 124/70, HR 88 irregular, RR 16, SpO₂ 97% RA. She denies chest pain. Later that evening she becomes anxious with palpitations. Vitals: BP 102/64, HR 170 irregular, RR 22, SpO₂ 95% RA. Student prompts (answer in complete sentences) Identify Rhythm Strip 1 and Rhythm Strip 2. Describe the ECG features distinguishing them. Is Ms. Alvarez (strip 1)currently stable or unstable? Defend your answer with data. Outline your first three nursing actions for Strip 2. If she became hypotensive with altered mental status, what immediate therapy is indicated and why?  

During a preparticipation physical for a collegiate distance runner, the nurse reviews a 12-lead ECG showing sinus bradycardia at 52/min. BP is 114/58 mm Hg, oxygen saturation 99% on room air. The student denies dizziness, chest pain, or syncope and reports regular training. Which action is most appropriate?  

A 54-year-old with alcohol-related cirrhosis is brought in for new confusion and daytime drowsiness. Family reports constipation for 4 days and a recent GI bleed that stopped yesterday. Exam shows disorientation and asterixis. Vitals: BP 108/64, HR 96, RR 20, SpO₂ 97% RA. Labs: albumin 2.6 g/dL, total bilirubin 4.8 mg/dL, sodium 129 mEq/L, glucose 92 mg/dL, BUN 32 mg/dL. Which finding best explains the patient’s mental status change?

A client newly diagnosed with rheumatoid arthritis asks, “Which medicine actually slows or prevents joint damage over time?” Which medication class should the nurse emphasize during teaching?  

Begin typing your Movie Analysis Paper into a word document.  To earn credit for this rough draft, include the following: heading title introduction that includes a thesis statement listing the four interpersonal concepts you plan to discuss in the paper Then, begin typing detailed information for at least one of the four concepts you selected.  Before the 30 minutes ends, either save and attach (See “Add A File” button, below) your rough draft to this question space OR copy and past into this question area.

NG JEM.jpg This plate is commonly referred to as the JEMBEC plate. It is used to selectively grow ____________________ [BLANK-1]