Entries by Munene david

Mrs. Van Doern is being examined on postop day 3 following surgical resection

April 7, 2020 in /by

Question 58 Mrs. Van Doern is being examined on postop day 3 following surgical resection following a bowel obstruction. The postoperative course been unremarkable. Upon removal of the dressing, the incision is dry with staples intact. There is an approximately 0.5 cm erythema around the incision. There is no exudate. The patient demonstrates some discomfort […]

 

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K.T. is a 38-year-old female with a BMI of 39 kg/m2

April 7, 2020 in /by

Question 59 K.T. is a 38-year-old female with a BMI of 39 kg/m2 who needs surgical reduction of a hiatal hernia. She is asking about the recovery process and says that she has read about something called the obesity paradox. She wants to know what that means with respect to her healing. The AGACNP explains […]

 

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Esophageal motility

April 7, 2020 in /by

Question 60 Esophageal motility disorders are sometimes a consequence of systemic diseases such as scleroderma, Raynaud’s disease, and systemic lupus erythematosus. When patients with these diseases have gastroparesis, which medication should be added to the regimen? A. A proton pump inhibitor      B. A histamine 2 receptor antagonist       C. A calcium channel antagonist        D. A promotility agent   Looking […]

 

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S. is a 46-year-old

April 7, 2020 in /by

Question 61 S. is a 46-year-old female with metastatic breast cancer. She is currently off cycle for chemotherapy and generally is feeling well. Today, however, she presents feeling acutely unwell. She says that she has had coldlike symptoms over the last few days, including cough, nasal congestion, headache, and a hoarse voice in the mornings. […]

 

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