The nurse suspects rupture of an abdominal aortic aneurysm in a client. Which manifestation would support this concern?   

A patient with a history of chronic obstructive pulmonary disease (COPD) comes to the emergency department experiencing lethargy, restlessness, blurred vision, decreased respirations, and tremors. Given the arterial blood gas shows pH 7.30, PaCO2 50 mmHg (normal 35-45 mmHg), what would you expect the bicarbonate levels to be?

A colleague’s tumor biopsy results are released on MyChart prior to their next visit and reflect the following staging and grading: T2, N3, M0 (Stage 3); Grade 4. They understand the staging but ask if you could explain what a Grade 4 tumor is. You know a Grade 4 tumor means: 

Your aunt is diagnosed with Hashimoto’s thyroiditis, an autoimmune disease. She knows you will soon be an APRN and asks you why autoimmune diseases happen. Which would be the best response? 

A 60-year-old patient with a 10-year history of ulcerative colitis, an inflammatory bowel disease, presents with recent weight loss, fatigue, and low-grade fever. Labs show elevated C-reactive protein and erythrocyte sedimentation rate. Which of the following best describes the pathophysiological basis of their symptoms? 

Which of the following clinical scenarios best illustrates the concept of stress response initiation? 

Which electrolyte imbalance is most likely to cause muscle cramping and weakness and cardiac arrhythmias?

There are many similarities and differences in adult and pediatric cancers. One major difference is that pediatric cancer: 

Which of the following best explains the mechanism of injury following reperfusion?

A 62-year-old patient has a colon mass biopsied. The results describe it as a preinvasive epithelial tumor. Which term best aligns with this description?