This is an extra-credit question. If you used a page of notes, DESTROY YOUR PAPER WHEN YOU HAVE FINISHED THE EXAM by tearing it up on camera. Once you’ve destroyed the paper, please copy and paste or type “I have destroyed my notes” in the box below. If you did not use notes, copy and paste or type “I did not use notes” in the box below and you will also earn extra credit. (It does not matter if you include the quotation marks in your answer.)

Which multifilament suture materials cannot be absorbed by the body and must be manually removed after healing?

Which needle point is most useful for creating a sealed suture line in a patient’s intestines?

Which surgical instruments is most appropriate to hand the surgeon when she wants to grasp and retract a patient’s tissue on a short-term basis?

BONUS: What type of flower is pictured? flower.jpg 

BONUS: What are the “cup-like” structures on the surface of this plant? h 2.png 

Case Study question 1 of 3  Mr. Sing is an 84 year old resident of a skilled nursing facility. He has had an abrupt onset of confusion and was taken to the emergency room for evaluation.  His weight on admission is 165 pounds (75 kilograms). He is admitted with sepsis and urinary tract infection. NURSES’ NOTES VITAL SIGNS LAB RESULTS MEDICATIONS DATE TIME FOCUS NURSES’ NOTES Feb. 25, ’23 0900 Confusion Admitted to emergency room via ambulance. Responds to name, but disoriented to place, time and situation.  TIME PARAMETER RESULTS 0900 Temperature 39.0° C (102.2° F)   Heart rate 98   Blood pressure 92/60   Respiratory rate 18   Oxygen saturation 95% TEST RESULTS White blood cells (WBC) 16.0 x 109/L Hemoglobin (Hgb) 14.5 g/L Sodium (Na) 140 mmol/L Potassium (K) 4.0 mmol/L Glucose  120 mg/dL Lactic acid  2.5 mmol/L MEDICATION LIST: acetaminophen 625 mg PO or PR q4h prn temperature IV bolus of NS 2250 mL over 3 hours oxygen via Nasal Cannula, titrate to 94% Blood, urine and sputum cultures STAT Pipercillin/tazobactuam 3.375 Gm/0.375 Gm) IV every 24 hours Foley catheter with hourly urine output measurements   Identify assessment data that requires immediate follow up by the nurse. 

For the patient with mild intermittent asthma who has infrequent acute episodes, the nurse teaches the client that which of the following is most effective for providing quick relief in acute episodes?

Collaborative treatment for the patient with this ECG rhythm is:   

A patient with cardiomyopathy has this rhythm which has been unresponsive to antiarrhythmic drug therapy (digoxin) for 2 weeks. The nurse anticipates that further treatment of the patient will require: