A70-year-old man comes to the physician because of fever, productive cough, and pleuritic chest pain for 1 day. over the past 2 years, he has had two similar episodes. he also has had persistent pain in the thoracic spine for 1 month. his temperature is 39.2°c (102.6°f), pulse is 94/min, respirations are 22/min, and blood pressure is 110/60 mm hg. there is dullness to percussion and decreased breath sounds over the right base. examination shows tenderness of the midthoracic spine. laboratory studies show: hematocrit 34%leukocyte count 15,000/mm3neutrophils 81%bands 4%lymphocytes 15%serum calcium 10.9 mg/dlx-rays of the chest show consolidation of the right lower lobe, lytic lesions at t8 and t10, and diffuse osteopenia. which of the following is the most likely diagnosis of this patient's back condition? (a) hiv infection(b) multiple myeloma(c) prostate cancer(d) staphylococcal osteomyelitis(e) tuberculosis osteomyelitis

Maggie graphed the image of a 90 counterclockwise rotation about vertex a of . coordinates b and c of are (2, 6) and (4, 3) and coordinates b’ and c’ of it’s image are (–2, 2) and (1, 4). what is the coordinate of vertex a.

Mr smith a 52 year old patient, is admitted to the coronary care unit with the diagnosis of acute inferior myocardial infarction. the patient has a history of smoking two packs of cigarettes for 35 years, and he drinks a six pack of beer on weekend nights, but does not drink the rest of the week. he is the sole financial support for his family. he is a consultant for a company and is out of town during the week days. mr smith has gained 20 pounds. he is 5 foot, 6 inches, weighing 200 pounds. his diet consists mostly of fast foods. he rarely exercise. his wife care for their three teenage children. the eldest son, 17 years of age, totaled the family car when drinking and driving 2 days ago and he is in the local children’s hospital in the intensive care unit in critical condition. mr smith developed chest pains and slumped over in his chair during an argument with his wife about their teenage daughter, who is 15 years of age and wanted to get birth control pills. the wife is in the waiting room while the nurses settle mr smith into his room. the youngest son, 13 years of age, is at a friends house. the teenage daughter is staying at the bedside of the criticall i’ll eldest son. the wife blames her eldest son for her husband’s heart attack and told the emergency department nurse that she does not care to see her son i’ll. a. what maladaptive response to stress may have contributed to mr smith’s development of an illness b. based on the case study, what family assessment data may be used to determine coping strategies being currently used by the family. c. what nursing interventions should be used to promote effective coping for the patient and his family?

Which of the following must be done to the lsovue to avoid a misdiagnosis of gallstones during a cholangiogram? a. do not inject the lsovue until the gallbladder is removed. b. mix 10 cc of saline with 20 cc of isovue. c. ensure that there are no air bubbles in the syringe before injection. d. keep the isovue chilled.