A patient who is lethargic and exhibits deep, rapid respirations has the following arterial blood gas (ABG) results: pH 7.29 PaCO2 37 mm Hg HCO3 16 mEq/L How should the nurse interpret these results?

You are receiving report from the off-going RN. Casey is a G3P2 that has delivered an infant by vacuum-assisted vaginal delivery (VAVD) around 6 hours ago. She was induced for postdate induction at 41.2 weeks GA. Casey is AB- blood type, rubella neg, GBS+ treated with 4 doses of Ampicillin.  She has allergies to sulfa. She has a 3rd-degree perineal laceration. Her blood loss was 400ml QBL. She has been firm and midline and bleeding has been normal. She received 2 bags of pitocin and is currently with a saline lock. She did have an epidural but has gotten up to void twice already.  Her baby is a baby boy with apgars 7 and 9. He has a cephalohematoma on the right side of the head where the vacuum was placed. He has already voided but no meconium yet. He is breastfeeding and has had poor latch scores of 4 and 5. He is A+ blood type with DAT+(Coombs positive). Labs are ordered every 6 hours. His face was really bruised when he was first born because she dilated from 3-10cm very quickly and his descent was fast.  The bruising is looking better and is just on his forehead now. Choose all of the risk factors that relate to increased risk of hyperbilirubinemia (select all that apply)

Which organs are part of the immune system? (Select all that apply.)

Which clinical symptom can indicate allergic responses? Select all that apply. 

Identify four (4) questions you would ask a primary caregiver, who is providing informal care to a family member, to screen for caregiver burden or burnout. Explain why the information obtained from each of these questions would be valuable in determining an effective plan of care:

Your previous patient L.M. who is a 32-year-old G2P1 at 39.5 weeks gestation, was admitted for labor and was told her baby is looking “sunny side up” with the occiput on the maternal right side. She is also told she is GBS positive. The following tracing was recorded on admission. What position is the baby in?  [position] What do you need to educate L.M. about being GBS-positive? [positiveeducationneeds] True or False? This EFM strip is marked variability with accelerations and a normal contraction pattern. [trueorfalse]      

Maria is a G5P5 that was delivered by C/S 4 hours ago. Her QBL from the surgery was 800ml of blood loss. She currently has lactated ringers running at 125ml/hr. Her only medical history includes chronic hypertension. She calls for the nurse while breastfeeding her baby and states she felt a big gush. Upon arrival in her room, you note that Maria is sitting in a puddle of blood with clots.  She is feeling dizzy and lightheaded and looks very pale. What are the next steps you can anticipate including interventions and potential medications? (Select all that apply.)

The nurse in the urgent care clinic notices abnormalities in a urine dipstick for a sexually active female with recurring dysuria and urinary frequency. A dipstick, a urine test strip, is a basic diagnostic tool to determine pathological changes in a patient’s urine in standard urinalysis. The health care provider then asks the nurse to send the urine for culture and sensitivity (C & S). For which purpose does the HCP prescribe an additional urine C & S? 

You are the new Chief Operating Officer (COO) in the acquisition scenario below. Scenario: Harry’s Sporting Good’s is one of the largest sporting goods retailers in the country. Harry’s began as small store in San Diego in 1947. The first store was opened by Harry Cleaver after returning from the war and the company has remained in the Cleaver family. Harry’s two sons took over the company in 1985 and have led the expansion to over 1000 stores nationwide. In the past few years, the shift to online buying has caused Harry’s to close a few stores. However, the company recently aggressively implemented online sales for 100% of their products, and they have begun to grow again. Harry’s largest competitor is Champion Sports, based in Boston, MA. Champion Sports has a similar story to Harry’s on a smaller scale. The company has just over 300 stores in the Northeast and South. Champion’s management team foresaw the shift to online shopping and implemented  a very successful website before the rest of the industry. As a result, they have continued to grow, and over 50% of their current revenue comes from online sales. Seeing the potential for exponential growth and synergy, Harry’s Sporting Good’s just reached agreement to acquire Champion Sports. The deal is scheduled to close in the first quarter of 2025. The new company, operating as Harry’s Sporting Goods, will be the largest sporting goods retailer in the country. The combination of Harry’s larger storefronts and supply chain with Champion’s online presence is expected to yield phenomenal results. You have just been promoted to Chief Operating Officer (COO) of Harry’s Sporting Goods, Inc. You went to college with one of Harry Cleaver’s sons and have worked at the company since you graduated. You started working as a warehouse supervisor but have held a number of positions with increasing responsibility over the years. Just prior to your promotion, you were Senior Vice President/Southwest Regional Manager with responsibility for all aspects of the business in the Southwest region, including management of over 300 stores and 4,000 employees. Your leadership was instrumental in bringing the merger with Champion Sports to the table, and it was one of the major reasons you were promoted to COO. As COO, you are now responsible for all aspects of the company’s operations. Your first responsibility will be to oversee the completion of the acquisition of Champion, bringing the people, processes, and systems of the two companies together. You report directly to the President/CEO, as do the EVP/Chief Financial Officer (CFO), the EVP/Chief HR Officer, and the EVP/Chief Technology Officer (CTO). All of the SVP/Regional Managers report to you, as well as SVPs for Supply Chain, Real Estate/Stores, and Marketing. Analyze the scenario above and respond to the Management Process Problem questions:  What is/are the problem(s) Harry’s Sporting Goods is trying to solve with this acquisition? What are the primary business functions affected by the problem? What resources are needed? Who is/are the key manager(s) involved in bringing the two companies together? As the new COO, what is your recommended solution / COA to complete the acquisition and merge the companies? What situational / contextual elements should be considered?

Level 5 Leadership is a combination of  these (2) character traits