Author Question: A 14-year-old female has been experiencing severe internal cramps in the region of the pelvis and ... (Read 89 times)

dejastew · **on:** Jun 25, 2018

A 14-year-old female has been experiencing severe internal cramps in the region of the pelvis and weight loss.She has been admitted with rectal bleeding.

The physician has diagnosed her with inflammatory bowel disease (IBD). She asks the nurse what causes this disease. The nurse will base her response knowing that IBD has been linked to
A)
liver involvement in faulty glycogen stores.
B)
endoplasmic reticulum stress in the gastrointestinal system.
C)
oversecretion of insulin from the beta cells in the pancreas.
D)
infiltration of the gastrointestinal tract by bacterial toxins.

Question 2

While taking BP for a new geriatric patient, the nurse notes that his BP is 162/70. When questioned by the nurse, the patient states, That's a pretty good BP for me.

My upper number is usually higher. Based on this finding, the nurse should further collect data related to which of the following body systems? Select all that apply.
A)
Detailed history surrounding cardiac events like chest pain or pressure
B)
Any paresthesia in limbs or noticeable facial drooping
C)
Decrease in urine output with increase in edema in the feet/legs
D)
Noticeable change in skin color (yellow), especially around the abdominal area
E)
Painless lumps palpated on his neck and cervical spine

TheDev123 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Ans:
B

Feedback:

Researchers are determining links between the endoplasmic reticulum (ER) and various disease processes. For examples, ER stress in the GI system has been found to be related to intestinal inflammations such as those occur with inflammatory bowel disease. The smooth ER of the liver is involved in glycogen stores. Insulin is synthesized as a large, inactive proinsulin molecule cut apart to produce a smaller, active insulin molecule within the Golgi complex of the beta cells. Bacterial toxins have exploited the retrograde transport mechanism.

Answer to Question 2

Ans:
A, B, C

Feedback:

An elevation in systolic BP accompanied by a normotensive diastolic pressure causes a dramatic increase in pulse pressure. Thus, aggressive treatment of systolic hypertension is recommended and has been shown to demonstrate a reduction in stroke, heart failure, kidney disease, and other complications.