A patient with a 10-year history of alcoholism was admitted to the critical care unit with the diagnosis of acute pancreatitis. Based on the diagnosis, which statement is correct? 

The nurse is caring for a patient with acute renal failure. Which factor in the patient’s medical history is likely to have contributed to the patient’s development of renal failure? 

Which symptoms in a client with cirrhosis and encephalopathy indicate to the nurse that the prescribed lactulose therapy is effective? 

Harry is a 54-year-old with rheumatoid arthritis that you follow in your practice . In addition to his other medications, the rheumatologist has him on infliximab (Remicade) to control his symptoms. His work is requiring a ppd. He has come to you for advice. What would you advise him? Select all that apply. 

Kenneth presents to clinic with complaints of an area to his right medial ankle “that just won’t heal”.  He knocked his leg on his lawn mower about 3 weeks ago and has been cleaning it daily with soap and water.  His has a history of venous stasis and you suspect he has a venous stasis ulcer.  You note the edges of the wound are shaggy with a erythematous base, with yellow purulent exudate, surrounding tissue is erythematous, warm and you note a streak going up his leg.  What is the best plan of care? Select all that apply. 

You have been following a patient with serial US for presence of an abdominal aneurysm (AAA).  On initial diagnosis, it measured 3.5 cm.  You note the most recent report indicates it now measures 6.2 cm in diameter.  She continues to be asymptomatic.  What is your best plan of care?

According to the latest GOLD guidelines, which vaccinations would you recommend for your 60-year-old patient with COPD? Select all that apply. 

While obtaining a history, your patient states, “You know, whenever I bend over to put on my socks and shoes, I get really short breath. How weird is that?” How would you document this in your note in the patient’s chart?

Mrs. McGitty is an 83-year-old patient in the nursing home. She has rheumatoid arthritis and is on daily steroid therapy. She was recently exposed to TB. The initial PPD is negative. What would be your most appropriate action? 

You suspect a patient has peripheral arterial disease. Which is (are) part of your treatment plan? Select all that apply.