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- Subject: MEDSURG NURSING 1. A 44-year-old guitarist of a rock band is admitted to the hospital with pancreatitis. Which type of pain is the patient most likely to have? a. Burning pain which occurs 2 – 3 hours after meals and is relieved by antacids. b. Midepigastric pain radiating to his back that is aggravated by a fatty meal c. Severe abdominal distention and pain with associated bloody diarrhea d.Right lower quadrant pain with rebound tenderness 2. Which of the following laboratory values should a nurse expect to be elevated in a patient who has pancreatitis? a. Blood calcium levels b. Blood urea nitrogen c. Alanine aminotransferase (ALT) d. Serum amylase 3. Which of the following would MOST likely be a major nursing diagnosis for a client with acute pancreatitis? a. Impaired swallowing b. Ineffective airway clearance c. Excess fluid volume d. Imbalanced nutrition: less than body requirements 4. Which of the following nursing intervention is INAPPROPRIATE for a client with…S B is a 54-year-old Latina female who went to her healthcare provider with complaints of heartburn, dysphagia, nausea, and chest pain. She feels bloated and obtains little or no relief from over-the-counter antacids. Her past medical history includes 2-pack-a-day cigarette smoking, stressful job, and chronic use of NSAIDs for chronic back pain. 1.What is the recommended diagnostic test to diagnosis GERD? Why?CASE STUDY Acute Pancreatitis Patient Profile V.A. is a 55-year-old man admitted to the hospital with acute pancreatitis. Subjective Data • Has severe abdominal pain in the LUQ radiating to the back • States that he is nauseated and has been vomiting Objective Data Physical Examination • Vital signs: Temp 101°F (38.3°C), HR 114 bpm, RR 26, BP 92/58 • Jaundice noted in sclera Laboratory Tests • Serum amylase: 400 U/L (6.67 mkat/L) • Serum lipase: 600 U/L . Urinary amylase: 3800 U/day • WBC count: 20,000/μL Blood glucose: 180 mg/dL (10 mmol/L) • Serum calcium: 7 mg/dL (1.7 mmol/L) Collaborative Care • NPO status • NG tube to low, intermittent suction • IV therapy with lactated Ringer's solution Morphine PCA Pantoprazole (Protonix) IV .
- Please help me answer the questions below. Thank you so much! Case Study #4Romina Jackobs is a 45-year-old morbidly obese French woman who moved to theUS one year ago for a job promotion. She lives alone with her two cats. She says thatshe has made a lot of friends in the apartment building that she lives in, and herneighbor has called her and let her know that she will take care of her cats. Becauseshe has only been in her new position for a year, she is worried that she will get intotrouble if she has to miss too many days. As a regional public relations manager forDelta airlines, she has to travel a lot, she is worried she will miss a lot of her reports.She presented in the ER this morning complaining about pain in her right calf. Onassessment her calf was red, edematous and hot to the touch. There was a palpablemass in the calf, so Romina was sent to ultra sound. Ultra sound revealed that therewas an encapsulated mass in the calf, and pt was sent to CT scan. CT revealed thatthere…Please help me answer the questions below. Thank you so much! Case Study #4Romina Jackobs is a 45-year-old morbidly obese French woman who moved to theUS one year ago for a job promotion. She lives alone with her two cats. She says thatshe has made a lot of friends in the apartment building that she lives in, and herneighbor has called her and let her know that she will take care of her cats. Becauseshe has only been in her new position for a year, she is worried that she will get intotrouble if she has to miss too many days. As a regional public relations manager forDelta airlines, she has to travel a lot, she is worried she will miss a lot of her reports.She presented in the ER this morning complaining about pain in her right calf. Onassessment her calf was red, edematous and hot to the touch. There was a palpablemass in the calf, so Romina was sent to ultra sound. Ultra sound revealed that therewas an encapsulated mass in the calf, and pt was sent to CT scan. CT revealed thatthere…The home care nurse is visiting a client who was recently disgnosed with type 2 diabetes mellitus. The client, prescribed repaglinide and metformin, asks the nurse to explain these medications. The nurse should reinforce which instructions to the client? Select al that apply. 1. Diarrhea can occur secondary to metformin. 2. The repaglinide is not taken if 2 meal is skipped. 3. The repagiinide is taken 30 minutes before eating. 4. Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes. 5. Muscle pain is an expected side effect of metformin and may be treated with acetaminophen. 6. Metformin increases hepatic glucose production to prevent hypoglycemia associated with repagiinide
- Oral hypoglycemic agents include all of the following, except:A. SulfonylureasB. BiguanidesC. Phosphodiesterase inhibitorsD. ThiazolidinedionesE. Alpha-glucosidase inhibitorsmatland.orbundsis.com/einstein-freshair/Videos/72D06CBDFA3B50645EB62270BBDACF2A/Case+Studi (6) The Reason Why... ▸ Isaiah Blames Zora... zon.com: Onlin... Beyond The Lights... Open with Case Study, Chapter 32, Diet Therapy and Special Diets Nathan Levi, 88, is admitted to the hospital with severe pneumonia. During his hospitalization he requires intubation and is in a critical care unit. Due to the intubation/breathing assistance Nathan is unable to take food by mouth so he is provided with peripheral parenteral nutrition (PPN). After a week of intensive care, Nathan recovers enough to have the breathing tube removed and begins to eat again. His healthcare provider orders a soft diet for him. The nurse notices that Nathan's dentures are missing and requests an order for a mechanical soft diet from the healthcare provider instead. (Learning Objectives7, 13) 1. While in the ICU why was Nathan given PPN and what is the difference between that and TPN (total parenteral nutrition)? 2. What…A client is receiving parenteral nutrition. A nurse assessing the client for complications of the therapy will be looking for which of the following indicates hyperglycemia? Question 34 options: a) Coarse dry hair, weakness and fatigue b) Thirst, blurred vision, and diuresis c) Fatigue, increased sweating, and heat intolerance d) High-grade fever, chills, and decreased urine output A client is receiving parenteral nutrition. A nurse assessing the client for complications of the therapy will be looking for which of the following that indicates hyperglycemia? Question 34 options: a) Coarse dry hair, weakness and fatigue b) Thirst, blurred vision, and diuresis c) Fatigue, increased sweating, and heat intolerance d) High-grade fever, chills, and decreased urine output
- Case study: Constipation and pharmacological management of peptic ulcer A 75-year-old female patient has visited the clinic with a presenting history of not having had a bowel movement for four days. She states that she is ‘always regular or every day. She lives in a residential home and suffered a sprained ankle two weeks ago, for which she has been taking co-codamol, which has been effective in managing the pain. She admits that the injury has restricted her movements, and she has been unable to ‘get about’ as she usually does. She also reveals that she has been experiencing heartburn regularly, especially after a spicy meal or after a glass of whisky, which she sometimes takes to help her to relax since the injury. She has been taking an antacid for the last few days, which initially helped, but she is still experiencing indigestion. She has a past medical history of hypertension and persistent atrial fibrillation (AF), for which she takes digoxin 125micrograms od, aspirin 75mg od,…Case study: Constipation and pharmacological management of peptic ulcer A 75-year-old female patient has visited the clinic with a presenting history of not having had a bowel movement for four days. She states that she is ‘always regular or every day. She lives in a residential home and suffered a sprained ankle two weeks ago, for which she has been taking co-codamol, which has been effective in managing the pain. She admits that the injury has restricted her movements, and she has been unable to ‘get about’ as she usually does. She also reveals that she has been experiencing heartburn regularly, especially after a spicy meal or after a glass of whisky, which she sometimes takes to help her to relax since the injury. She has been taking an antacid for the last few days, which initially helped, but she is still experiencing indigestion. She has a past medical history of hypertension and persistent atrial fibrillation (AF), for which she takes digoxin 125micrograms od, aspirin 75mg od,…These are the options to choose from mechanism of action on the attached pic. 1. Respiratory depression 2. Analgesia 3. Nausea/Vomiting 4. Reward/Addiction 5. Sedation 6. Constipation 7. Reduced Cortisol 8. Antitussive 9. Pupil Contraction 10. Reduced S*x Hormones 11. Pruritis 12. Euphoria