Question # 240A 78-year-old woman is brought from the nursing home to the emergency department due to worseningabdominal distension. Over the past 3 days, the patient has had decreased appetite and progressiveabdominal distension that is now accompanied by diffuse abdominal discomfort. Her last bowelmovement was 4 days ago. Medical history is significant for dementia, hypertension, osteoarthritis,osteoporosis, and chronic constipation. Surgical history includes open appendectomy and opencholecystectomy. Temperature is 37 C (98.6 F), blood pressure is 138/80 mm Hg, and pulse is 92/min.Physical examination shows a distended and tympanitic abdomen with diffuse tenderness to palpationbut no rigidity or rebound tenderness. Blood counts and serum electrolytes are within normal limits.Abdominal x-ray is shown in the exhibit. Which of the following is the best next step in management ofthis patient?AEmergency total abdominal colectomyBManual disimpaction and laxative therapyCNasogastric decompression and bowel rest onlyDTherapeutic flexible sigmoidoscopyEUpper gastrointestinal series with small-bowel follow-through

We have a case of a 78-year-old woman. Chief complaint: Abdominal distension. -Decreased appetite…

Answered: A 78-year-old woman is brought from the…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Question 2 A 35 year old male presents to your office complaining of right sided neck pain that has recently started sending pain into his arm and 1st and 2nd digits. He describes the pain as "sharp, zingy, and electrical." He reported a long history of athletics, including a 15 year history of high school and collegiate wrestling: Please walk through the differential diagnosis process and describe: 1) Questions that you would ask the patient 2) Any physical examination procedures or imaging studies that you would do. 3) Then provide a list of structures that could cause his symptoms (DDX) as well as your ultimate diagnosis with a brief justification of why you believe that is his condition. (We have not covered all the possible questions, physical exam procedures or imaging studies that you could perform. I really want to see how you can put the anatomy of this region in a clinical context). Please use bullets as opposed to one long block of text.
Question 26 The enterostomal therapist has assessed the client with a new colostomy and documented that the peristomal skin is “indurated”. The nurse knows this to mean: Question 26 options: Bright red to dark red discolouration Ulceration formation Superficial loss of smooth epithelium Abnormal firmness with palpable margins
Question 47 The nurse would anticipate routine therapy for a child with gastroenteritis to include: Question 47 options: Acetaminophen to treat abdominal pain Antidiarrheal medication to treat diarrhea Oral antibiotics to treat intestinal infection Corticosteroids to treat intestinal inflammation
Question 10 An illeostomy was just created in a patient with ulcerative colitis, the nurse assess the patient in the immediate postoperative period for which most frequent complication of this type of surgery? O fluid and electrolyte imbalance O folate deficiency O malabsorption of fat O intestinal obstruction
Question 23 The nurse notices that the client who is 24 hours post-op after having a bowel resection and ileostomy has only a small amount of bloody fluid draining from the ileostomy. The nurse should: Question 23 options: encourage the client to drink more fluid assess for return of bowel sounds irrigate the ostomy to promote drainage report finding to the doctor as soon as possible Question 23 (1 point) The nurse notices that the client who is 24 hours post-op after having a bowel resection and ileostomy has only a small amount of bloody fluid draining from the ileostomy. The nurse should: Question 23 options: encourage the client to drink more fluid assess for return of bowel sounds irrigate the ostomy to promote drainage report finding to the doctor as soon as possible
Question 1 A 65-year-old woman presents to the clinic to establish care. Her past medical history is notable for type 2 diabetes and hypertension. She has a 45-pack-year smoking history. A few weeks ago, she was shoveling her driveway when she had to stop due to tightness in her chest. She does not get any regularexercise because her calves become very painful after walking one block. Questions A. What is the likely diagnosis? B. What is the pathogenesis of this condition? C. What are this patient’s rick factors, and how do they contribute to the development of atherosclerosis?
Question 15 Ms. S complained of gas distension of the abdomen on the 2nd postoperative day. The Nurse would, O assist her with early ambulation provide water and juice between meals administer antiemetic drugs request doctor to start intravenous fluids A Moving to another question will save this response. 0000
Question 38 Ms. LW is on hydroxychloroquine (Plaquenil) for rheumatoid arthritis. Certain tests are recommended before a patient starts this medication. Which of the following is NOT recommended before starting Hydroxychloroquine (Plaquenil)? Comprehensive Eye Exam CBC (Complete Blood Count) Liver Function profile 24-hour urine
Question 1 A 65-year-old woman presents to the clinic to establish care. Her past medical history is notable for type 2 diabetes and hypertension. She has a 45-pack-year smoking history. A few weeks ago, she was shoveling her driveway when she had to stop due to tightness in her chest. She does not get any regular exercise because her calves become very painful after walking one block. Questions A. What is the likely diagnosis? B. What is the pathogenesis of this condition? C. What are this patient’s rick factors, and how do they contribute to the development of atherosclerosis?
Question 29 During the initial postoperative assessment of a client’s stoma following an ileostomy, the nurse finds it to be deep pink with moderate edema and a small amount of bleeding. Which of the following actions should the nurse take based upon these findings? Question 29 options: Notify the surgeon with concerns of the stoma appearance Monitor the stoma every 30 minutes Clean the area and apply an ice pack for swelling Document the stoma assessment
Question 1: Write a 1-2 page analysis stating your decision regarding whether the nurse was liable for the death of the patient in the scenario below. IT’S YOUR GAVEL… CHANCE OF SURVIVAL DIMINISHED On the afternoon of May 20, the patient, Mr. Ard, began feeling nauseated. He was in pain and had shortness of breath. Although his wife rang the call bell several times, it was not until sometime later that evening that someone responded and gave Ard medication for the nausea. The nausea continued to worsen. Mrs. Ard then noticed that her husband was having difficulty breathing. He was reeling from side to side in bed. Believing that her husband was dying, she continued to call for help. She estimated that she rang the call bell for 1.25 hours before anyone responded. A code was eventually called. Unfortunately, Mr. Ard did not survive the code. There was no documentation in the medical records for May 20, between 5:30 PM and 6:45 PM, that would indicate that any nurse or physician…
Question is based on the following information. RICE (rest, ice, compression, & elevation) Routine for First Aid Rest Rest the injured part of your body to reduce further swelling and bleeding. Avoid moving the injured part. Ice Compression Wear a compressed bandage for at least two days to help reduce bleeding and swelling. Elevation Helly SE Apply an ice pack to the injured area for twenty to thirty minutes every two to three hours for the first forty- eight hours after an injury. This will help relieve pain and minimize bruising and swelling. MA Raise the injured part of your body (above your heart when possible) to help reduce swelling SAMSUNG

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