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- SCENARIO Identifying Data: This 72-year-old female presents with a biopsy proven adenocarcinoma of the sigmoid colon at 20 cm. History of Present Illness: The patient has been noted to have some bright red bleeding intermittently for approximately 8 months, initially presumable of a hemorrhoidal basis. She recently has had intensification of rectal bleeding but no weight loss, anorexia, or obstructive pain. No significant diarrhea or constipation. Some low back pain, probably unrelated. Recent colonoscopy by Dr. Scoma revealed a large sessile (attached by a broad base) polyp, which was partially excised at 20-cm level, showing infiltrating adenocarcinoma at the base. The patient is to enter the hospital at this time after home antibiotic and mechanical bowel prep, to undergo sigmoid colectomy and possible further resection. 1. Using the scenario above, answer the following questions: A. What chronic symptoms did this patient have? Describe the symptoms using medical…Choose one (1) drug for pedia patients (pre term or full term) and apply the 10 R’s of medication. Follow the attached template. Choices: Vitamin K Erythromycin Hepatitis BWhat is difference between melaena and occult blood? ANSWER SHOULD INCLUDE: Occult blood - cannot be seen with the naked eye. Detected by specific tests (FOB - faecal occult blood tes). FOB does not necessarily mean that there are any abnormalities but can be a sign of Colon cancer). Melaena is visible ( in the way that stools look); indicates upper G.I bleeding
- Intervention of redness beyond 0.5 cm of episiotomy and 4th degree laceration, edema in perineal and vulvar, greater than 2 cm from episiotomy, ecchymosis greater than 1 cm bilaterally, bloody discharge and purulent discharge, approximation in skin, subcutaneous fat and fascial layer separationAfter an initial skin assessment, the nurse documents thepresence of a reddened area that has blistered. According torecognized staging systems, this ulcer would be classified as:a. Stage Ib. Stage IIc. Stage IIId. Stage IVWhich of the following service cannot be implemented by Point-of-Care Testing? BLOOD BANKABO Typing with RHBlood Retyping CrossmatchingCoomb's Test (Direct and Indirect) CLINICAL HEMATOLOGYCBC with platelet countReticulocyte coutESRMalarial Smear CLINICAL MICROBIOLOGYBlood cultureUrine cultureSputum CultureCulture and SensitivityAFBKOHGram Stain CLINICAL MICROSPYUrinalysisPregnancy Test FecalysisOccult BloodCSF cell count/ Diff countOBF Cell Count/ Diff countSemen AnalysisWet Mount Smear SEROLOGYASOCRPDengue DuoAntigens for Derma cases Elisa (BP180, BP230, Dsg1, Dsg3, Envoplakin, Type VII collagen) HISTOPATHOLOGYSmall BiopsyMedium SpecimenLarge SpecimenRadical SpecimenFRozen SectionIHC (ER, PR, HER2)Griemsa StainAFBStainReview of slidesVytology with cell blockDIF PCR LaboratoryXpert MTB/RifSARS-CoV-2 testing
- A colonoscopy is a medical procedure used to detect the early signs of colorectal cancer. The two-way table below represents the results from 1000 colonoscopy patients for indicating the presence or absence of the cancer. Round percentage answers to the nearest tenth of a percent to answer the following two questions. No Cancer Cancer Positive Test Result 61 43 Negative Test Result 885 11 (a) What is the specificity for this test? % (b) What is the sensitivity for this test? %For what part of the body is the intravenous pyelography x-rayThe client complains of nausea. You obtain an new order for prochlorperazine 25 mg rectal suppository every 12 hours PRN nausea, vomiting. Available: prochlorperazine 25 mg rectal suppository. How many suppositories will you administer to the client in your 8-hour shift?
- A 3-day-postpartum client questions why she is to receive the rubella vaccine beforeleaving the hospital. Which of the following rationales should guide the nurse’s response?1. The client’s obstetric status is optimal for receiving the vaccine.2. The client’s immune system is highly responsive during the postpartum period.3. The client’s baby will be high risk for acquiring rubella if the woman does not receive the vaccine.4. The client’s insurance company will pay for the shot if it is given during the immediate postpartum period.Choose one (1) drug for pedia patients (pre term or full term) and apply the 10 R’s of medication. Choices: Vitamin K Hepatitis B ErythromycinThe baby of Mrs. Corpuz will receive oral DPT vaccine today. The nurse needs additional knowledge when she instructed the mother to: Give the baby additional fluids Apply warm compress on the injection site Do not feed the child within 30 minutes after giving DPT Give paracetamol in case of fever