Author Question: A 43-year-old male client has presented to the emergency department with vomiting that he claims is ... (Read 81 times)

fox · **on:** Jun 25, 2018

A 43-year-old male client has presented to the emergency department with vomiting that he claims is of a sudden onset.

The client also states that the emesis has often contained frank blood in the hours prior to admission. His vital signs are stable with temperature 98.3 F, pulse 88, BP 140/87, and respiratory rate 18. Which of the following potential contributing factors would the health care team suspect first?
A)
Overuse of antacids
B)
Alcohol consumption
C)
Staphylococcal enterotoxins
D)
Effects of Helicobacter pylori

Question 2

During a lecture about medication therapy for type 2 diabetic patients, the pharmacology instructor discusses side effects to monitor following subcutaneous injection of exenatide (Byetta), a glucagon-like peptide-1 (GLP-1) agonist.

Of the following list, which signs and symptoms should the students be assessing in this patient? Select all that apply.
A)
Nausea
B)
Weight loss
C)
Dizziness
D)
Tachycardia
E)
Dehydration

aruss1303 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B

Feedback:

Acute gastritis associated with alcohol use is characterized by intermittent vomiting and the possibility of hematemesis. Aspirin and H. pylori do not normally cause such an acute symptom onset, and infectious organisms do not normally cause bleeding of the stomach lining. A combination of calcium carbonate and magnesium is commonly found in antacids. Overdose of antacids can result in irregular heartbeat, poor balance, shallow, rapid breathing and stupor (lack of alertness).

Answer to Question 2

Ans:
A, B

Feedback:

Exenatide is approved as an injectable monotherapy or combination adjunctive therapy for people with type 2 diabetes in association with diet and exercise. It is injected subcutaneously 60 minutes before a meal. The major side effects are nausea and weight loss. Dizziness and tachycardia are not listed as major side effects; however, they may be indicative of hypoglycemia related to other medications.