Non-pharmacologic treatment strategies for management of rheumatoid arthritis include:

Please arrange the following steps in the order of operation in a typical binder jet metal AM process with 1 being the first step (within the given choices) and 4 being the last step.

In metal DED, why are CO2 laser-based systems typically operated at higher power?

Primary care. Six months after starting weekly semaglutide injections, a client has lost 30 lb (13.6 kg). For 3 weeks the client has had right upper quadrant pain after meals and now reports itching and pale stools. Test 6 months ago Today Total bilirubin (mg/dL) 0.7 4.4 Alkaline phosphatase (units/L) 82 396 ALT (units/L) 24 118 Lipase (units/L) 30 42 (normal) WBC (/µL) 7,200 8,100 Ultrasound — Gallstones; dilated common bile duct Which factor in this client’s history is a known risk factor for gallstones?

Primary care. A 67-year-old client has taken omeprazole 40 mg daily for 6 years for heartburn that went away years ago. Finding Result Magnesium (mg/dL) 1.2 Vitamin B12 (pg/mL) 160 (low) Hgb (g/dL) and MCV (fL) 11.0 and 104 Last year Wrist fracture after a minor fall 3 months ago Hospitalized for C. difficile infection Which explanation best ties these findings together?

Nephrology clinic. A client with stage 4 CKD from diabetes takes sevelamer, epoetin alfa every 2 weeks, losartan and insulin glargine. Data 3 months ago Today Phosphorus (mg/dL) 7.4 5.0 Calcium (mg/dL) 8.2 8.8 Hgb (g/dL) 8.6 10.6 Potassium (mEq/L) 5.3 4.6 BP (mm Hg) 158/94 132/80 Weight change between visits +6 lb +2 lb Which client statements show the plan of care is working as intended? Select all that apply.

Outpatient dialysis center. Ninety minutes into a 4-hour hemodialysis run, a client who took metoprolol and amlodipine this morning reports leg cramps and dizziness. Data Pre-dialysis At 90 minutes Weight (kg) 81.2 (dry weight 77.5) — BP (mm Hg) 146/84 84/50 HR (/min) 78 96 Fluid removed Goal 3.7 L 1.9 L so far Which actions should the nurse take? Select all that apply.

Three months after starting ferrous sulfate 325 mg by mouth three times daily for iron deficiency anemia from slowly bleeding hemorrhoids, since repaired, a client says, “My energy is back. Can I stop the iron now?” Lab At diagnosis Week 6 Month 3 Hgb (g/dL) 8.8 11.2 13.4 MCV (fL) 71 77 85 Serum ferritin (ng/mL) 5 9 16 Which response by the nurse is best?

Urgent care, July. A landscaper who takes lisinopril and hydrochlorothiazide for hypertension has taken ibuprofen 800 mg three times daily for a week for back pain while working outdoors in the heat. The client feels dizzy and has passed little urine today. Data 3 months ago Today BP (mm Hg) 132/80 96/58 BUN (mg/dL) 16 52 Creatinine (mg/dL) 1.0 2.1 Urine specific gravity — 1.030 Urinalysis — No casts, no protein Bladder scan — 90 mL The provider classifies this as prerenal AKI. Which statement describes the cause of prerenal AKI?

Outpatient infusion suite, 0910. A client with pulmonary arterial hypertension who takes sildenafil (Revatio) 20 mg three times daily, last dose at 0800, reports chest pressure while waiting for an appointment. A covering provider gives sublingual nitroglycerin 0.4 mg at 0912. Assessment 0910 0920 0935 BP (mm Hg) 126/78 88/52 70/42 HR (/min) 90 118 132 SpO2 93% 92% 92% Breath sounds Clear both sides Clear both sides Clear both sides Trachea and neck veins Midline, flat Midline, flat Midline, flat Behavior Anxious Dizzy, flushed Pale, slow to answer Which statement explains why sildenafil and nitroglycerin should not be given together?