Case Study, Chapter 26, The Digestive System Mr. McArthur is hospitalized with pancreatitis and cholecystitis. Neither his gallbladdernor his pancreas are functioning normally at this time. The client is placed on a NPO (nothing by mouth) diet order, given intravenous fluids and pain medication. The nurse is aware that the pancreas has two functions: one being endocrine, secretion of hormones to assist with glucose control and the other being exocrine, aiding the digestive system. Mr. McArthur is scheduled for gallbladder removal in the morning to treat the cholecystitis. (Learning Objective 4) 1. The client asks what his gallbladder does. What is the nurse's best response? 2. The client also asks how the pancreas works to help with digestion. What will the nurse tell him?

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A 52 yo woman who for the last couple of days has been vomiting small amounts, and has had abdominal pain. The pain has become more severe in the last 8 hours. She expresses surprise at her vomiting because she has eaten and drunk very little. She has not had a bowel movement in 2 days. Her medical history shows abdominal surgery for a hysterectomy twelve months ago, on a background of severe endometriosis.  Vital signs:   RR: 16 bpmSpO2: 99% BP: 110/60 mmHg (MAP 77 mmHg)  HR: 118 bpmTemp: 37 oC  Pain assessment:  P = upon movement and at restQ = aching with occasional stabbing painR = peri umbilical (central abdomen)S = 8/10T = Constant for last 48 hours  Abdominal assessment:  Inspection – distension, midline scarAuscultation – absent bowel soundsPalpation – general tenderness and guardingPercussion – gas-induced tympany   Fluid status assessment:  Weak pulses Pale and cool to the touchCap refill > 3secsReduced skin turgor – tongue furrowedDry mucous…

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_3_I need answer in briefly A client who has a history of an inguinal hernia is admitted to the hospital with sudden, severe abdominal pain, vomiting, and abdominal distention. The patient should be assessed for further complications for which complications?..

Discuss one digestive pathophysiology disease.

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Topic: Decubutis Ulcers Please make sure that you re-write each question, then answer it directly underneath it. Along with the creditable online source that is less than four years old. 1.)in details, Describe the etiology and consequences of decubitus ulcers. 2,)Who is susceptible? Who is involved in the care of them? Explain in details. 3.)What is the treatment? What happens if left untreated? Explain and give example. 4.)Where on the body are they most common? 5.)How would you teach a patient and/or family member to treat/prevent them? In your role as a future health care professional (nurse) , list at least one way specific to your profession(nurse) that you would utilize to treat decubitis ulcers.

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