The patient is a 65-year-old male who was brought to the emergency department by his wife after he complained of acute worsening of his chronic lower back pain and a sudden ­difficulty in urinating. The patient is also experiencing numbness and weakness in his legs. The patient states that he has been diagnosed with lumbar spinal stenosis with neurogenic claudication in the past. Imaging studies are performed and severe spinal stenosis at the level of L5 is confirmed. The patient is diagnosed with cauda equina syndrome and is taken to the operating room for an emergent decompression of the spinal cord. An L5 laminectomy is performed to relieve the pressure on the spinal cord. The patient is kept in the hospital for further monitoring of his neurological condition after the surgery. The patient’s final diagnoses are cauda equina syndrome and lumbar spinal stenosis with neurogenic claudication. Principal Diagnosis: Secondary Diagnosis: Principal Procedure:

A patient reports extreme sadness and inability to care for her newborn for 3 weeks. Likely diagnosis?

Which newborn is most at risk for respiratory distress syndrome (RDS)?

The patient is a 2 YO male who has suffered from multiple otitis media infections over his lifetime. The patient’s mom provides a history of the child being exposed to second-hand smoke for the first 6 months of his life. Otherwise, the patient’s medical history is negative. The patient underwent bilateral myringotomy and placement of tubes behind the tympanic membrane due to chronic, recurrent bilateral otitis media. Principal Diagnosis: Add’l Diagnosis: Principal Procedure: Add’l Procedure:

A laboring patient suddenly reports sharp abdominal pain, fetal heart rate disappears, and contractions stop. What is suspected?

This figure shows the bones of the ankle and foot. Which color indicates the cuboid bone?

This figure shows the bones of the ankle and foot. Which bone does the red bone indicate?

  The nurse reviews the fetal heart tracing shown above. Which interpretation is correct?

A 26-year-old G1P0 at 40 weeks gestation is in active labor and receiving an oxytocin infusion for labor augmentation. The nurse notes the following fetal monitor tracing: Baseline FHR: 150 bpm Variability: minimal Recurrent late decelerations occurring with contractions Contractions: every 2 minutes lasting 90 seconds Which nursing interventions are appropriate at this time? (Select all that apply.)

  A nurse is reviewing the electronic fetal monitoring strip shown above. Which interpretation of the fetal heart rate pattern is most accurate?