Who has an icted heel ulcer
A nurse in a long-term care facility plans the care of four clients following the 0700 morning change-of-
shift. Which of the following clients should the nurse collect data on first?
a
A client who has bronchitis and heann taking antibiotiotics yesterderday who has temperature of 38.30 oC
B. An older adult client who has diabetes, takes Chlorpropamide, and has a 0600 blood glucose level of 60 mg/dL
C. A client who has Alzheimer’s was reported to be restless during the night
D. A young adult client who has a L3 spinal cord compression fracture was reported to have been incontinent during the night

Harold, a fifty-eight year old grocery store manager, had recently been waking up in the middle of the night with abdominal pain. this was happening several nights a week. he was also experiencing occasional discomfort in the middle of the afternoon. harold decided to schedule an appointment with his physician. the doctor listened as harold described his symptoms and then asked harold some questions. he noted that harold's appetite had suffered as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. otherwise, harold seemed fine. the doctor referred harold to a physician that specialized in internal medicine and had harold make an appointment for a procedure called an endoscopy. the endoscopy was performed at a hospital later that week. during the procedure, a long, thin tube was inserted into harold's mouth and directed into his digestive tract. the end of the tube was equipped with a light source and a small camera which allowed the doctor to observe the interior of harold's stomach. the endoscope was also equipped with a small claw-like structure that the doctor could use in order to obtain a small tissue sample from the lining of harold's stomach, if required. the endoscopy revealed that harold had a peptic ulcer. analysis of a tissue sample taken from the site showed that harold also had an infection that was caused by helicobacterpylori bacteria. the doctor who performed the endoscopy gave harold prescriptions for two different antibiotics and a medication that would decrease the secretion of stomach acid. the doctor also instructed harold to schedule an appointment for another endoscopy procedure in 6 months. 1. list the subjective findings in this case study. 2. what is an endoscopy? (2 points) what is a biopsy? 3. how was a biopsy performed on harold? 4. differentiate between gastric and duodenal ulcers by location. 5. what role does h. pylori play in the formation of peptic ulcers? 6. define occult and frank blood. (4 points) what is a guaiac test? 7. how can peptic ulcers cause bleeding? 8. why were antibiotics prescribed? 9. why would a medication that would decrease the secretion of stomach acid be beneficial?

Anurse is monitoring the laboratory values of a client who is receiving heparin. which of the following values should the nurse report to the provider? a. platelets 300,000/mm3 b. hematocrit 45% c. pt 11 seconds d. aptt 50 seconds

Anurse is preparing to administer lidocaine via continuous iv infusion at 4 mg/min. available is lidocaine 2 g dextrose 5% in water 500 ml. the nurse should set the iv pump to deliver how many ml/hr? (round the answer to the nearest whole number. use a leading zero if applicable. do not use a trailing zero.)