A 52-year-old female with a history of obesity has been admitted to the medical-surgical unit. She reports several days of worsening nausea and vomiting after eating, especially following fatty meals, resulting in poor oral intake of both food and fluids over the past week. The patient describes a steady, intense pain in the right upper quadrant that often radiates to her right shoulder or back. On assessment, she displays dry mucous membranes and skin tenting. ElyteVS_Matrix.png The provider has entered the following orders. Based on the patient’s condition, categorize each nursing action as anticipated, contraindicated, or unrelated. *Some answer choices may not be applicable.

A patient with a history of cirrhosis has been admitted to the intensive care unit for severe confusion, asterixis, and increased deep tendon reflexes. A prescription was placed for neomycin sulfate (Mycifradin). Which statement best explains the therapeutic purpose of neomycin sulfate in managing the patient’s condition?

You are caring for a 45-year-old patient with acute pancreatitis. The patient is NPO and receiving intravenous (IV) fluids due to severe nausea and vomiting. During the most recent assessment, the patient appeared restless, short of breath, and reported severe (“10 out of 10”) upper abdominal pain with radiation to the back. The patient’s current vital signs are:Vital SignValueHeart Rate (HR)116 bpmRespiratory Rate (RR)29 breaths/minBlood Pressure (BP)98/60 mmHgOxygen Saturation (SpO₂)90% on room airWhich of the following nursing actions is the highest priority?

When obtaining a health history from a patient with acute pancreatitis, the nurse prioritizes asking about a history of alcohol abuse and [BLANK-1].

Use the matrix options below to indicate the route of transmission and vaccine availability of each type of viral hepatitis. Type of Hepatitis Route of Transmission (Fecal-Oral vs. Blood/Body Fluids) Vaccine availability? (Available vs. Not Available) A [BLANK-1] [BLANK-2] B [BLANK-3] [BLANK-4] C [BLANK-5] [BLANK-6] D [BLANK-7] [BLANK-8] E [BLANK-9] [BLANK-10]

A 45-year-old male with a history of chronic alcohol use and gallstones presents with severe upper abdominal pain, vomiting, hypotension, and jaundice. He is admitted with acute pancreatitis. Due to worsening oxygen saturation (SpO₂ 88%) and clinical deterioration, a blood gas is drawn to assess for signs of acute respiratory distress syndrome (ARDS).  Interpret the arterial blood gas results, including the type of acid-base imbalance and compensatory effort. pH 7.29 PaCO2 34 mmHg HCO3 18 mEq/L  PaO2 58 mmHg Interpretation:  [BLANK-1] [BLANK-2] [BLANK-3]   Answer in this order: Blank 1: Compensation Status (Fully Compensated, Partially Compensated, Uncompensated) Blank 2: Body system (respiratory or metabolic) Blank 3: Acidosis or Alkalosis

A patient with a history of Non-Hodgkin’s lymphoma has presented to the emergency room with signs and symptoms suggesting infection and bone marrow suppression. Review the chart below to determine which of the following nursing diagnoses would be the priority for this patient. Exam 4 – EHR Chart – L.K..png

A 58-year-old male with a history of type 2 diabetes mellitus presents to the emergency department with weakness, excessive thirst, and frequent urination. He is awake but slightly confused. Labs are as follows:Blood glucose: 650 mg/dLpH: 7.38bicarbonate: 26 mEq/LElevated serum osmolality:  320 mOsm/kg)Urinalysis: Positive for glucose, negative for ketones. Based on this information, the nurse recognizes that which of the following is the most likely diagnosis?

Lake Superior has ice for a long period each winter.   Below is some data and a scatterplot of the number of days ice was present at one of the stations on Lake Superior versus the mean temperature for the months of December through April, for nine seasons (1966-67 through 1974-75).                         The least squares regression line fit to this data is Days of Ice = 253.0 – 6.254 x Mean Temperature with r-squared = 57.1%.  Type a complete interpretation of the slope of the regression equation in the context of this scenario.

Researchers are exploring whether blood type is associated with heart disease risk. A sample of adults is selected. Each person’s blood type is recorded as A, B, AB or O and their heart disease risk is classified as low, medium, or high. The results are shown in the table below. Heart Disease Risk Blood Type Low Medium High Total A 92 26 14 132 B 23 11 4 38 AB 10 7 2 19 O 132 21 8 161 Total 257 65 28 350 Use the table below to answer the questions below. Enter your answers as fractions that are not simplified. What is the probability an individual selected from the table has an A blood type? [an]/[ad] What is the probability an individual selected from the table has a B blood type and medium heart disease risk? [bn]/[bd] What is the probability an individual selected from the table has an AB blood type or low heart disease risk? [cn]/[cd] What is the probability an individual with an O blood type has high heart disease risk? [dn]/[dd]