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mn 551 quiz 6 Patho
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- Mn 551 Quiz 6 Patho
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mn 551 quiz 6 PathoWhich of the following measures would likely be rejected as part of a first-
line weight loss plan for a patient with a BMI of 30.2, type 2 diabetes, and
hypertension? - -30 minutes or more of moderate-intensity activity at least 3
days per week
Calorie reduction by 500 to 1,000 kcal/day
*****Gastric bypass
Prescription drug therapy
-A nurse practitioner is providing care for a male patient with a long-
standing hiatal hernia. Which of the following statements most accurately
captures an aspect of the pathophysiology of hiatal hernias? - -An
incompetent pyloric sphincter and high fat diet are commonly implicated in
the development of hiatal hernias.
*****If esophageal acid clearance is impaired, esophagitis can result.
The root causes of hiatal hernias are normally treatable with medication.
Paraesophageal hiatal hernias are common and are normally not treated if
the patient is asymptomatic.
-Which of the following patients is most clearly displaying the signs and
symptoms of IBD? - -A 24-year-old man who has a stressful job but whose
diarrhea and cramping do not worsen during periods of high stress.
A 44-year-old man who is under great financial stress and who states that his
lower abdominal pain is much worse at night than during the day.
*****A 51-year-old male who states that his stomach pain is in his lower
abdomen, "comes and goes," and "feels more like a cramp than a dull ache."
A 32-year-old mother who complains of intermittent abdominal pain that
persists even after defecation.
-While on tour, a 32-year-old male musician has presented to the
emergency department of a hospital after a concert complaining of severe
and sudden abdominal pain. He admits to a history of copious alcohol use in
recent years, and his vital signs include a temperature of 38.8°C (101.8°F),
blood pressure of 89/48 mm Hg, and heart rate of 116 beats per minute.
Blood work indicates that his serum levels of C-reactive protein, amylase,
, and lipase are all elevated. Which of the following diagnoses would the care
team first suspect? - -*****Acute pancreatitis
Liver cirrhosis
Cholecystitis
Hepatitis C
-A 55-year-old man has been diagnosed with a hiatal hernia, in which the
function of the lower esophageal sphincter is compromised. Which of the
following consequences of this condition is most likely? - -Inappropriate
release of gastric enzymes
******Protrusion of the stomach or regurgitation of stomach contents into the
esophagus
Impaired control of the gastric emptying rate
Decreased absorption of ingested foods and fluids
-The mother of a 19-week-old infant has brought her baby to a nurse
practitioner for assessment because of the baby's persistent weight loss and
diarrhea. An intestinal biopsy has confirmed a diagnosis of celiac disease,
and the child's mother is anxious to know what caused the disease. Which of
the following aspects of the etiology of celiac disease would underlie the
explanation that the nurse practitioner provides? - -Inability to process or
absorb the fat content of breast milk results in malnutrition and deficiency of
fat-soluble vitamins.
Neurogenic or muscular inhibition of peristalsis results in inappropriate
motility of ingested food in the lower small intestine and the colon.
*******An inappropriate T-cell mediated response results in increased levels
of antibodies and an inflammatory response.
Bacterial or chemical invasion of the peritoneum leads to decreased nutrient
absorption and transport.
-A female neonate has been in respiratory distress since delivery and is
unresponsive to oxygen therapy. Endoscopy has confirmed a diagnosis of
esophageal atresia and tracheoesophageal fistula (EA/TEF). Which of the
following explanations should the care team provide to the infant's parents?
Question 7 options: - -The priority in our immediate treatment prior to her
surgery will be pain management, as the contents of her stomach can burn
her lungs."
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