49M is in fulminent liver failure secondary to NASH. The nurse would expect which series of deranged labs?

34F is admitted with weakness and malaise 90 days s/p gastric sleeve surgery. Her labs are as follows: Na+ 129 mEq/L (135 – 145 mEq/L) BUN 28 mg/dL (8 – 20 mg/dL) Creat 1.8 mg/dL (0.7 – 1.1 mg/dL) Hgb 16.4 g/dL (11 – 15 g/dL) Total Protein 4.1 g/dL (6 – 8 g/dL) Albumin 2.2 g/dL (3.4 – 5.4 g/dL) The patient asks the nurse why she’s feeling so unwell. The nurse suspects this patient is exhibiting which gastric sleeve complications?

49F with PMHx non-Hodgkin’s lymphoma and severe GERD is admitted with multifactorial distributive (septic) and cardiogenic shock. Work-up reveals an EF of 13% by echocardiogram and vegetation on the mitral valve.  Physical exam reveals: Neuro: atraumatic, PERRLA, + cough + gag, moves all extremities, + commands. Obvious dental erosion.  Pulm: bilateral fine crackles and diminished bases Cardiac: regular rate and rhythm, no murmurs, rubs or gallops GI: soft, nontender, + bowel sounds Ext: +1 BLE pulses, +1 BLE pitting edema Common things being common, the nurse knows the most likely explanation for her shock is:

39F with PMHx of ETOH abuse and cirrhosis presents to the ED with hematemesis and melena. Her VS and labs are as follows: Temp 36.1 C HR 128 RR 24 BP 86/49 SpO2 98% on RA Hgb 6.3 g/dL (12-15 g/dL) What is true?  (Select all that apply.)

Which type of hepatitis is a DNA virus, can be trasnmitted via exposure to infectious blood or body fluids, is required for HDV to replicate, and increases the risk of the chronic carrier for hepatocellular cancer? 

A 51F patient presents to the ED with complaining of frequent diarrhea over the past several days. She is weak with chapped lips. She tells you she just finished a course of antibiotics for strep. Which action should the nurse take first?

68M returns to the med-tele unit after a partial glossectomy secondary to oral cancer. The immediate risk the nurse knows to monitor for is:

59M is admitted with Crohn’s disease and colonic strictures. Which assessment finding requires immediate intervention?

A nurse is monitoring their patient during a paracentesis. Which assessment finding requires action by the nurse?

During the incubation period of viral hepatitis, what should the nurse expect the patient to report?