The nurse suspects that Mr. Melborne may have peptic ulcer disease. Can you identify Mr. Malborne'scontributing risk factor(s) for peptic ulcer disease?Choose all that apply.He is in the 40 to 60 year old age group.He has been taking ibuprofen (NSAIDs) for pain.He is been under stress at work.He has been taking antacids for heartburn.He has Zollinger-Ellison syndrome.He says his stools have been black and sticky.He has a history of cigarette use. Vital signs are: temperature 36.90C (98.40F), blood pressure 105/60mm Hg, pulse 88 bpm, respirations 18, pulse oximetry 96% on roomair. James Melborne, a 52-year-old man, presents to the outpatientclinic reporting "heartburn." Eating or taking antacids relieves thepain for 2 to 3 hours, then it begins again. He is often awakened atnight by the pain. James says he thinks the discomfort is caused by the stress he hasbeen under at work. He describes the discomfort as "burning" and"gnawing" and states that it hurts between his umbilicus and hissternum. He reports that he is on no routine medications, but hedoes take ibuprofen (Motrin) daily for headaches and other pain.When asked about changes in his stools, Mr. Melborne says that hisstools have been black and sticky.

Peptic Ulcer: A peptic ulcer is a sore that develops in the lining of the stomach, esophagus, or…

Answered: The nurse suspects that Mr. Melborne…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Location: Emergency DepartmentTime: 04:00Situation:Stan Checketts, a 52-year-old widower, arrived in the Emergency Department 30 minutes ago with severe abdominal pain. A small bowel obstruction is suspected.Background:He has experienced worsening abdominal pain, nausea, and vomiting for 1-2 days with inability to eat or drink much over the last few days. His past surgical history includes a cholecystectomy, appendectomy, and right inguinal hernia repair, all more than 5 years ago.Assessment:Mr. Checketts is awake and states he has felt 'dizzy' and 'weak' all evening. His vital signs upon arrival were: BP: 108/73; temperature: 100.9 °F (38.3 °C); pulse: 110; respiratory rate: 22, and SpO2: 95% on room air. He has poor skin turgor, dry mucous membranes, and has not urinated since yesterday. His abdomen is distended. He signed an informed consent for treatment. A right forearm saline lock was placed, and labs, a CBC, and BMP were drawn.Recommendation:You will need to check the provider's…
S. is a 66-year-old African American woman who presents to your practice for a well-adult physical checkup. She is widowed and works part-time as a mental health technician to support herself. Family history includes father deceased from a stroke at age 50 years, mother living with hypertension and type 2 diabetes mellitus, a half-sister deceased with breast cancer, and a brother with pancreatic cancer and coronary artery disease and end-stage renal disease secondary to type 2 diabetes mellitus. S. has not seen a health-care provider for several years because she had no health insurance. Now she has Medicare, so she is coming in for care. She is a former smoker who quit 5 years ago after smoking 1 pack per day since age 20 years. She has four grown children, all of whom live nearby, and she has eight grandchildren. Vital signs are blood pressure (BP) 150/92, heart rate (HR) 76 (reg), respiratory rate 18 breaths per minute (bpm) (afebrile), and body mass index (BMI) 32.1. What would…
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