Which of the following disorders is the leading cause of upper GI hemorrhage?
a. Stress ulcers
b. Peptic ulcers
c. Nonspecific erosive gastritis
d. Esophageal varices
B
Peptic ulcer disease (gastric and duodenal ulcers), resulting from the breakdown of the gastromucosal lining, is the leading cause of upper GI hemorrhage, accounting for approximately 21% of cases.
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A patient performing home renovations is brought to the emergency department with electrical burns. When assessing the patient, the nurse should recall that:
A) bone has a lower resistance than other body tissues. B) electricity bounces off bone toward soft tissues. C) electrical damage follows a straight path through the body. D) most tissues of the body are insulators.
Mrs. Owens has come to the clinic to see the nurse practitioner about her persistent cough. Recently, she was laid off from her job at the retail store and lost all benefits. She has had a fever and chills for several days
As the nurse begins the assessment, Mrs. Owens begins to cry and says: "I have no money to pay for medicine or this visit. Please do not order an antibiotic, because I cannot pay for it." The nurse's best response would be which of the following? 1. "I understand your concerns, Mrs. Owens. I have free medicine from donors to give you." 2. "I understand your concerns Mrs. Owens. It looks like you will qualify for Medicaid benefits." 3. "Don't worry Mrs. Owens, I won't prescribe an antibiotic." 4. "Mrs. Owens, perhaps you can be seen in the emergency department. They can give you free antibiotics."
Mrs. R. has requested an epidural for her pain. She is 5 cm dilated and 100% effaced. The baby is in a vertex position and is engaged. The nurse increases the woman's IV fluid for a preprocedure bolus
She reviews her labs and notes that the woman's hemoglobin is 12 g/dl, hematocrit is 38%, platelets are 67,000, and white blood cells are 12,000/mm. What factor would be contraindicated for the woman to receive an epidural? 1. She is too far dilated. 2. She is anemic. 3. She has thrombocytopenia. 4. She is septic.
Prevention of conversion from prediabetes to diabetes in young children must take highest priority and should focus on:
1. Aggressive dietary manipulation to prevent obesity 2. Fostering LDL levels less than 100 mg/dl and total cholesterol less than 170 mg/dl to prevent cardiovascular disease 3. Maintaining a blood pressure that is less than 80% based on weight and height to prevent hypertension 4. All of the above