Your next patient is a 56-year-old, returning to clinic fo…

  Your next patient is a 56-year-old, returning to clinic for follow-up from a recent hospitalization.  Her PMHx includes type II diabetes mellitus, hypertension, hypothyroidism and rheumatoid arthritis.  Eight days ago she was diagnosed with a myocardial infarction and under percutaneous coronary intervention (PCI) and drug eluding stent (DES) placement.   Lab results today include: CBC:  WBC 5,000, Hgb 8 g/dL, HCT 24%, Platelet count 280,000 Labs results drawn her her pre-procedure visit (8 days ago):  WBC 11,000, Hbg 13 g/dL, HCT 39%, Platelet count 150,000 On physical exam she appears to be in mild distress. BP 110/54 mmHg and HR 100 bpm.  Abdominal exam reveals tenderness in the RLQ and LLQ, but not rigidity or guarding noted.  The rest of her PE was within normal limits.   What is the most likely cause of this patient’s anemia?

A 65-year-old patient with a history of diabetes mellitus, (…

A 65-year-old patient with a history of diabetes mellitus, (who has not received the current season’s influenza vaccine), presents to your clinic one day after known exposure to influenza.  The patient reports a fever, watery, red eyes. What is the most appropriate initial action for the APRN in managing this patient?

Now that you are taking a finance class, your sister has ask…

Now that you are taking a finance class, your sister has asked you for some advice in saving for her retirement goals. She has just started a job with a law firm, and the firm provides a pension plan for all of its retirees. Each year while in retirement, all employees receive $750 per month. When you sister retires in fifty (50) years, she anticipates that she will need $4,500 per month to meet her living expenses. She expects to be retired for 25 years. While retired, all of her retirement funds will be in an account that earns and APR of 3.8%, compounded quarterly. Your sister plans on taking a trip around the world after she has been retired for five (5) years. The cost of this trip is currently $20,000, but it is expected that this cost will increase at the rate of inflation, which is expected to be 2% per year. Your sister currently has $25,000 in her savings account, that is earning 2.7% compounded weekly. How much should she deposit each month while she is working to meet her retirement goals?