A patient with systemic lupus erythematosus (SLE) arrives at the clinic with complaints of increased joint stiffness, oral ulcers, fatigue, and photosensitivity. She reports missing several doses of hydroxychloroquine over the past two weeks. Vital signs: T 100.8°F (38.2°C), HR 96, BP 124/78, RR 20, SpO₂ 97%. Urinalysis shows mild proteinuria. Which nursing action is the priority?

Emily Turner, a 40-year-old patient with relapsing-remitting multiple sclerosis, arrives at the clinic with worsening numbness in her legs and increased muscle spasms over the last three days. She reports difficulty keeping her balance and feels extremely fatigued. Her history includes several previous flares that improved with treatment. The nurse is reviewing the plan of care to address her immediate flare and long-term disease management needs. Categorization Prompt: Drag each intervention to the appropriate category.

Case Study Scenario: A 55-year-old patient with a history of diabetes presents to the emergency department with signs and symptoms of septic shock, including fever, hypotension, tachycardia, and confusion. Blood cultures were just drawn, and recent laboratory results show elevated white blood cell count, elevated lactate, and renal impairment (elevated creatinine). The patient is not responding to the initial fluid resuscitation. Vital Signs: BP 80/50 mmHg, HR 115 bpm, RR 28, SpO₂ 88%, and Temp 101.9°F (38.8°C) Lab Results: White Blood Cell Count: 18,000/µL Lactate: 4.2 mmol/L Creatinine: 2.1 mg/dL Arterial blood gas: pH 7.29, PaCO2 32 mmHg, HCO3 18 mEq/L    Which of the following interventions should the nurse prioritize as an immediate action and which should be delayed?

You have a 6 M stock solution of hydrochloric acid (HCl) and need to prepare 5 L of a 1.5 M HCl solution for an experiment. What volume of the stock solution is required? Show your work.

A 42-year-old male weighing 78 kg arrives in the emergency department after sustaining multiple burn injuries during a house fire. His burns include: Entire anterior torso Right hand Anterior right leg Anterior head and neck He is awake but in significant pain, and IV access has already been established. Using the Parkland formula, determine the total amount of fluid that should be infused during the first 8 hours after the burn injury.

Maria Lopez, a 31-year-old patient with a history of epilepsy, is brought to the emergency department after experiencing a generalized tonic–clonic seizure at home. Her partner reports that the seizure lasted about 2 minutes. On arrival, she is confused, drowsy, and has a small tongue laceration. Vital signs:BP: 128/76HR: 104RR: 22SpO₂: 94% on room airTemp: 98.6 F The nurse is planning immediate and post-seizure interventions.   Categorization Prompt: Drag each intervention to the appropriate category.

Which statement by the patient diagnosed with rheumatoid arthritis indicates a need for further teaching about methotrexate?

A 27-year-old patient who has been treated for status epilepticus in the emergency department will be transferred to the intensive care unit. Which equipment should the nurse have available in the patient’s assigned room (select all that apply)?

Which of these is MOST important for the transportation officer to take into account when determining patient destination from an MCI?

You are called to the scene of a 27‐year‐old who just came home from the hospital after knee surgery and suddenly became short of breath. Assessment reveals jugular venous distention and equal lung sounds. This patient is MOST likely suffering from: