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Original Question

Answer the following questions. Situation: Amanda is a 37 year old who has had a esophageal surgery for carcinoma. She is receiving 250 ml of liquid nutrition over a 15 minute period every 4 hours through a nasogastric tube. 1. Amanda tells the nurse that she is experiencing diarrhea. The nurse suspects that the client is suffering from dumping syndrome: a. What is a dumping syndrome? – is an unpleasant set of vasomotor and GI symptoms that sometimes occur in patients who have had gastric surgery or a form of vagotomy. It may be the mechanical result of surgery in which a small gastric remnant is connected to the jejunum through a large opening b. What may cause the dumping syndrome? – c. What are the manifestations of dumping syndrome? Give at least 3 symptoms Situation: Andrew, a 15 year old is admitted at the hospital with a possible diagnosis of appendicitis. He had been symptomatic for several days before admission: 1. What is the possible cause of appendicitis? 2. What are the positive indicators of appendicitis? Give at least 3 3. What is rebound tenderness? 4. What is the common site where pain is elicited upon palpation? 5. What is the major complication of Appendicitis? 6. When does perforation usually occurs? Situation: Diabetes is one of the leading causes of pathologic conditions which often leads to mortality of the individual. 1. Differentiate Type 1 DM from Type 2 DM Type 1 DM Type 2 DM Age of Onset Body Built Description Acute Complication 2. Differentiate Hypoglycemia from Hyperglycemia Hypoglycemia Hyperglycemia Blood Sugar Level Causes

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