Endocrine CS Scenario: 54-year-old female client, Olivia presents to her primary care physician related to new concerns.  Olivia reports constipation, brittle nails, weight gain, feeling “sluggish” and overall fatigued.  She is concerned it may be menopause and wants to be evaluated.  Vital Signs: BP 110/60, HR 56 bpm, Temp 96.8F, RR 14, SpO2 96% on Room Air Labs: The provider entered a series of lab work to be completed as part of Olivia’s evaluation.  Results are noted below;   Lab Normal Value Patient Value Calcium 8.5-10.5 mEq/L 8.6 mEq/L Potassium 3.5-5 mmol/L 4.8 mmol/L Sodium 135-145 mEq/L 137 mEq/L Hematocrit 36-44% 45% Hemoglobin 12-15.5 g/dL 15.6 g/dL TSH 0.27–4.2 uIU/m Increased T3 80-220 ng/dL low T4 5-12 mcg/dL low Random Blood Glucose 70-140 mg/dL 72 mg/dL Question 1: Based on the above information, which endocrine imbalance does the nurse suspect Olivia could be experiencing? _______

Question 5: The nurse adds education points to the clients after visit summary.  Which educational points are appropriate? Select all that apply, there are 4 correct answers.

What condition is characterized by uncontrolled proliferation of white blood cells in the bone marrow?

Which of the following skin conditions are caused by bacteria? Select all that apply

What is the pathological agent that causes mononucleosis?

During the Great Terror,

A political scientist using the Social Expressive perspective on political culture when analyzing the citizens of a country with a high level of poverty, whose ruler is a religious figure;

Compare the modes of transmission for hepatitis A, B, and C.

The nurse is caring for the child with the following lab values.  Test Red blood cell count (RBC) (million /mm3) White blood cell count (WBC) (x10 to the 3) Hemoglobin (g/dL) Hematocrit (%) Mean corpuscular volume (MCV) Mean corpuscular hemoglobin (MCH) Red cell distribution width (RDW)(%) Platelets (/mm3) Normal 4.2-5.9 5-10 12-18 37-51 80-96 23.7-28.4 12-17 150,000-450,000 Client 4.0 10.2 11 36 88 28.1 15 25,000   Based on these lab values, which of the following is the priority nursing action?

BCH4024 11724 OC F24 E3 Q50: A consequence of chronic liver cirrhosis (liver damage) is the deposition of excess fat in the liver causing further liver damage (fatty liver syndrome). The failure to produce which of the following plasma lipoproteins would prevent lipids from being exported from the liver and thus lead to the buildup of liver fat?