A nurse has started working in a clinic where many of the cl…
A nurse has started working in a clinic where many of the clients do not speak English. The nurse is not fluent enough to easily communicate with the client today. In this situation, which actions would best represent the nurse’s attempt to implement safe care?
Read DetailsJack, a 17-year-old male, is brought in by EMS after a fende…
Jack, a 17-year-old male, is brought in by EMS after a fender-bender. He was rear-ended while stopped at a red light. He told the first responders that he was fine, but feels a little short of breath all of a sudden. Jack tried to get out of the car on his own and gripped his chest in pain. When EMS rushed over he complained that the left side of his ribs were causing him excruciating pain. Upon physical exam his HR is 110 bpm, BP is 100/70 mmHg, RR is 24 bpm and breaths appear shallow. Auscultation of the chest reveals decreased breath sounds on the left side. 27. Which of the following diagnoses do you suspect, and what is the next best step to confirm it?
Read DetailsUse the following patient vignette to answer questions 28 –…
Use the following patient vignette to answer questions 28 – 29. Maya, a 33 y.o. African American woman, presents to the ED with dry cough and dyspnea. She is not a smoker and denies having asthma. She is very concerned about her cough because she works 60 hour per week in a prestigious law firm. You notice some minor cuts on her hands and inquire about them. Frustrated, she responds that they are mostly from handling many case files, but they haven’t healed properly for the past two weeks, despite using Neosporin (topical ointment) daily. PFTs show low TLC and reduced DLco. Chest X-ray reveals bilateral hilar adenopathy, with no infiltrates. 28. You ordered blood work before your imaging. What abnormal lab result(s) do you expect?
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