Which of the following is a common consequence of limited health literacy?

Describe the function of the following features which can be found in or around a synovial joint: Articular capsule (both the Fibrous capsule and synovial membrane), synovial fluid, articular cartilage, meniscus, bursa, tendon sheath. (For extra credit you may include what tissue/tissues each feature/structure is made of) You may want to answer with a table as seen below to make sure you answer all parts of the question. Feature/structure Function Tissues (extra credit) Fibrous capsule Synovial membrane Synovial fluid Articular cartilage Meniscus Bursa Tendon Sheath

A patient with long-standing cirrhosis becomes increasingly irritable and has difficulty performing tasks like writing and drawing a clock. Which findings would support the diagnosis of hepatic encephalopathy? Select all that apply.

You are discharging a patient 5 days after orthotopic liver transplant. Which instructions must be included to reduce rejection, infection, and medication complications? Select all that apply.  

A patient with alcoholic cirrhosis presents with new confusion and sleep–wake reversal after reporting black, tarry stools for two days. On exam, the patient has flapping tremor of the hands and must be reoriented frequently. Which condition most likely explains these symptoms?

A 62-year-old with hepatitis C cirrhosis develops progressive sleep–wake reversal and difficulty concentrating after missing several doses of lactulose. Exam: disoriented to date, mild icterus, flapping tremor. Vitals: BP 114/70, HR 90, RR 18, SpO₂ 98% RA. Morning labs: serum ammonia 98 µmol/L (elevated), total bilirubin 3.9 mg/dL, albumin 2.8 g/dL, sodium 131 mEq/L, glucose 118 mg/dL. Which abnormality most directly accounts for the current neurologic findings?

A patient with long-standing rheumatoid arthritis reports increased joint pain. Which assessment finding is most concerning and requires immediate provider notification?  

A newly admitted adult’s 12-lead ECG is reviewed. Which measured interval requires prompt follow-up?

A 19-year-old varsity soccer goalkeeper completes a screening exam. ECG shows sinus rhythm 48/min; BP 118/62 mm Hg. The student runs 5–6 days/week and denies syncope, chest pain, or exercise intolerance. Cardiac exam is normal. What should the nurse do?

A 26-year-old with systemic lupus erythematosus reports 2 weeks of worsening fatigue, morning joint stiffness, and new swelling in both ankles and around the eyes. She notes her urine has looked “foamy.” Vitals: BP 152/92, HR 96, RR 18, afebrile. Which potential complication is the nurse most concerned about?