A 22-year-old woman goes to her physician for a routine exam…
A 22-year-old woman goes to her physician for a routine examination. A palpable nodule is found in the right lobe of her thyroid gland. No lymphadenopathy is noted. A chest x-ray shows no masses. A fine needle aspirate of the nodule is performed and cytologic examination reveals cells present consistent with a papillary carcinoma of the thyroid. There are no other family members affected by this disorder. She works as a secretary for an accounting firm part time and is earning a college degree. Which of the following findings would you consider most relevant in her past history to indicate a risk factor for this neoplasm?
Read DetailsA 67-year-old man has noted a 5 kg weight loss along with in…
A 67-year-old man has noted a 5 kg weight loss along with increasing fatigue over the past year. He has experienced dull abdominal pain for the past week. He has developed abdominal distention with lack of stools in the past two days. On physical examination, bowel sounds are reduced. An abdominal CT scan reveals a mass involving the descending colon. At laparotomy, a partial resection of the left colon is performed, with removal of an encircling mass. Microscopically, the mass is found to be a moderately differentiated adenocarcinoma. Which of the following laboratory test findings is most likely to be present in this man?
Read DetailsQ5. Alan is a 28-year-old construction worker that develope…
Q5. Alan is a 28-year-old construction worker that developed intense right flank pain at the construction site. Upon presentation at the emergency department (ED), Alan was pale, crying and reporting “excruciating” back pain (near the right flank region). He states having kidney stones before and this feels the same. The CT scan report of the abdomen and pelvis states there is a renal calculi of 1.4 cm diameter lodged in the right upper ureter. The report also indicates severe hydronephrosis. Select all that apply to the complications related to hydronephosis.
Read DetailsQ19. Mark Gotham is 10 years old. He was diagnosed with SCD…
Q19. Mark Gotham is 10 years old. He was diagnosed with SCD shortly after birth. Mark started fifth grade at a new school last week and was worried that the kids would make fun of him because of his small stature and occasional limp. Instead of going to lunch with his classmates, he stayed in the classroom so that no one would see how he limps when he walks. Mark became dehydrated and started to feel severe pain in his right leg. His mother brought him to the emergency department. Select the best nursing hypothesis in order of priority the emergency department (ED) nurse must implement.
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