4. A 1-day-old child is born with an omphalocele. The mother is tearful and asks the nurse if she will still be able to breastfeed. In the hallway, the orientee asks the primary nurse what the difference is between omphalocele and gastroschisis. What should the nurse tell the mother about nutrition in patients with omphaloceles? What should the nurse tell the orientee about the difference between omphaloceles and gastroschisis?
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4. A 1-day-old child is born with an omphalocele. The mother is tearful and asks the nurse if she will still be able to breastfeed. In the hallway, the orientee asks the primary nurse what the difference is between omphalocele and gastroschisis.
What should the nurse tell the mother about nutrition in patients with omphaloceles? What should the nurse tell the orientee about the difference between omphaloceles and gastroschisis?
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- In the article "Epidemiology of Gastric cancer in Japan": 1. What are the new ideas/ information you learned from the research article? 2. Do you think the experiences of Japanese individuals in relation to gastric cancer are applicable to Filipinos? Why? 3. In what ways do Japanese and Filipinos differ in food preferences and eating habits? What are their similarities?A 30-year-old male banker complains of mid epigastric gnawing and boring pain for the last week. The pain is worse at night and is somewhat better immediately after he eats. He has not had any fever, nausea, or vomiting. He takes about one 500-mg acetaminophen tablet a week for headaches but does not take any other medications. Upper endoscopy reveals a 2-cm mucosal defect in the antrum of the stomach. There is mild edema in the adjacent mucosa, but there is no thickening of the edges of the ulcer. 1. What is the most likely diagnosis? 2. What are complications from this condition? 3. What is the most likely mechanism of this disorder?1. Male, 30 years old, with sudden mid-upper abdominal knife-cutting pain for 3 hours to see a doctor. Physical examination: total abdominal tenderness, rebound pain, and muscle tension. An upright abdominal radiograph showed free air under the diaphragm. It is speculated that the cause of the patient's peritonitis is: Subphrenic abscess Intestinal abscess Pelvic abscess Rupture of the spleen Gastroduodenal perforation 2. Male, 50 years old, had undergone subtotal gastrectomy for gastric ulcer 20 years ago. In the recent half a year, he had upper abdominal distension after eating, black stool in the past 2 months, and wasting and fatigue. Physical examination: a 6×5cm mass can be reached under the xiphoid process. The texture is hard and can be pushed, accompanied by light tenderness. The first diagnosis considered is: Ulcer recurrence Postoperative input loop obstruction Output loop obstruction Remnant stomach cancer Gastric emptying disorder
- What information should be included in health promotion classes for parents of school-age children with regard to the treatment of sore throats? a. As long as the child does not have a fever, there is no need to seek medical treatment. b. Provide fluids as tolerated and keep the child well hydrated. c. Parents should take their child to a health care provider so that a rapid throat culture can be obtained. d. If the child can swallow with minimal pain, all that is needed is increased fluid.31. A 39- year-old Caucasian woman presents at the clinic with complaints of epigastric pain that is cramplike, rhythmic, and just below the xiphoid. She states that it wakes her up around 1 am and that she is not sleeping well because of it. She further states that this is her third painful episode in the past year. The nurse suspects the patient has a peptic ulcer and expects to receive what orders from the physician? Schedule patient for a complete metabolic panel and a complete blood count. Schedule patient for laparoscopic examination. Schedule patient for a swallow study. Schedule patient for a lower gastrointestinal study9. A 31-year-old woman comes to the physician with abdominal pain. She was previously treated for tuberculous spondylitis. She has been asymptomatic for 10 years. Physical examination shows a nontender palpable mass in the right upper quadrant below the level of the lower costal margin. There is no costovertebral angle tenderness. An x- ray of the lumbar region shows a density suspicious for a calcified tuberculous abscess. Which of the following is the most likely site of the suspected abscess? A. Body of pancreas B. Cecum C. Fundus of stomach D. Psoas fascia E. Suspensory muscle of the duodenum
- 2. A 50-year-old male client comes to the clinic complaining of a scratchy throat and excessive sneezing. He states, “My nose is so stuffed up and my eyes are tearing so much that I feel like I’m crying.” Further evaluation reveals acute allergic rhinitis. a. What questions should the nurse ask the client to aid in determining the cause of the client’s symptoms?b. What instructions should the nurse provide the client to help him reduce future episodes of allergic rhinitis? 3. A client is undergoing treatment for chronic obstructive pulmonary disease (COPD) at a healthcare facility. He has acquired pneumonia and has increased cough and sputum production and intense dyspnea. Pleural effusion is detected in the lungs. The healthcare provider orders a thoracentesis be performed on the client. What points should a nurse keep in mind before and after a thoracentesis is performed on a client?21. A 45-year-old man is brought to the physician because of a 3-week history of fever and facial pain. His temperature is 38°C (100.4°F), pulse is 74/min, and respirations are 14/min. Physical examination shows tenderness, edema, and erythema around the left zygomatic bone. A CT scan of the head shows that the left maxillary sinus is filled with fluid. Fiberscopic rhinoscopy is done to examine the maxillary sinus. The inserted endoscope is most likely to traverse which of the following spaces before immediately entering the maxillary sinus in this patient? OA) Frontonasal duct B) Inferior meatus Oc) Middle meatus OD) Nasolacrimal duct E) Parotid duct OF) Sphenoethmoidal recess G) Superior meatus the4. Discuss postoperative ileus including definition, risk factors, clinical manifestations, and prevention/treatment interventions. Definition – Risk Factors – Clinical Manifestations- Interventions-
- 1. What is the Periodontium ? What are the different parts of the periodontium. Describe each. 2. What is the most common periodontal disease? 3. What is fetor oris? What are some possible causes of Fetor oris.George Payton, a 52-year-old man previously diagnosed with IBS, reports that he is having 3-5 bowel movements per day. The movements are runny and loose and filled with red blood. George has not experienced any constipation. His family practitioner refers him to a gastroenterologist. 1. Describe IBS 2. Are the reported symptoms compatible with IBS? 3.Are the reported symptoms, which is most significant? Is any other disease suspect? 4. What tests is the gastroenterologist likely to order?4. Why does periumbilical pain occur in case of acute appendicitis? 5. What is the venous drainage of the rectum: 6. What is the most common type of colonic volvulus?