A 78 year old female was admitted to the hospital for a possible ulcer. She is scheduled for a routine colonoscopy.  Comoribidities include, Diabetes Mellitus, Coronary Artery Disease and Hyperlipidemia.Routine vital signs were being done by the CNA  which were reported to the nurse.Heart Rate 112Respiratory Rate 24Temperature 100.2Sp02 93% on Room Air, placed on supplemental oxygen nasal cannula 2 lThe nurse called the MD to inform them about the patients current status and the colonoscopy was cancelled until further notice. The MD ordered the following: CXR, Complete Blood Count, Lactic Acid, Blood Culture Results as followed:CXR impression: Opacities in right and left lungs, left greater than right, small pleural effusion in left lower lobe.CBC: WBC 15,000, RBC 5.0,Hgb 14,HCT 48, PLT 250Lactic Acid- 3.8 mEq/LBlood Culture result: Gram negative bacillus Please answer if the following:1.Viral or bacterial issue2. Type of pneumonia3. Possible cause considering patients situation

A 51-year-old woman comes to the office because of fatigue and progressive exertional dyspnea during the past several months. She has not had fever, cough, chest pain, palpitations, or weight loss. She has a history of type 2 diabetes mellitus and hyperlipidemia and takes glyburide and simvastatin. Screening colonoscopy 1 year ago showed no abnormalities. The patient does not smoke cigarettes, drink alcohol, or use illicit drugs. BMI is 32 kg/m2. Her temperature is 37.0°C (98.6°F), pulse is 92/min, respirations are 12/min, and blood pressure is 115/70 mm Hg. Pulse oximetry on room air shows an oxygen saturation of 99%. Physical examination shows mucosal and conjunctival pallor. The lungs are clear to auscultation. Cardiac examination discloses no murmurs. The abdomen is nontender to palpation. No peripheral edema is noted. Laboratory studies show:Hemoglobin 8.8 g/dLMean corpuscular volume 79 μm3Leukocyte count 6,300/mm3Platelet count 210,000/mm3Reticulocyte count 0.4%Hemoglobin A1c 7.8%Serum   Sodium 140 mEq/L   Potassium 4.3 mEq/L   Creatinine 0.9 mg/dL   Thyroid-stimulating hormone 1.2 μU/mLTest of the stool for occult blood is negative. Chest x-ray shows no abnormalities. Which of the following is the most likely underlying pathophysiology causing anemia in this patient?A. Acquired inhibition of aminolevulinic acid synthaseB. Immune-mediated hemolysisC. Increased erythrocyte recycling by macrophagesD. Intermittent nocturnal hypoxemiaE. Release of inflammatory cytokines

Following major abdominal surgery, a male client's arterial blood gas analysis reveals Pa02 95 mmHg and PaC02 50 mmHg. He is receiving oxygen by nasal cannula at 4 liters/minute and is reluctant to move in bed or deep breathe. Based on this information, what action should the nurse implement at this time?

The nurse is caring for assigned clients. The nurse should immediately follow up on the client withA. chronic obstructive pulmonary disease (COPD) and has respiratory acidosis on the most recent arterial blood gas (ABG).B. atrial fibrillation taking prescribed warfarin and reports black, tarry stools.C. diabetes mellitus who refuses to eat following the administration of glargine insulin.D. acute pancreatitis and reports nausea with epigastric pain rated as a 3 on the Numerical Rating Scale.

When caring for a patient who has septic shock, which assessment finding ismost important for the nurse to report to the care provider?(a) BP 92/56(b) Skin cool and clammy(c) Apical pulse 118 beats/min(d) Arterial oxygen saturation 91%

While caring for a patient with a pulmonary artery catheter, the nurse notes the pulmonary artery occlusion pressure (PAOP) to be significantly higher than previously recorded values. The nurse assesses respirations to be unlabored at 16 breaths/min, oxygen saturation of 98% on 3 L of oxygen via nasal cannula, and lungs clear to auscultation bilaterally. What is the priority nursing action?Not quite, you're still learning!Increase supplemental oxygen and notify respiratory therapy.Notify the physician immediately of the assessment findings.Obtain a stat chest x-ray film to verify proper catheter placement.Zero reference and level the catheter at the phlebostatic axis.