A59-year-old man presents to the emergency department (ed) complaining of new onset chest pain that radiates to his left arm. he has a history of hypertension, hypercholesterolemia, and a 20-pack-year smoking history. his electrocardiogram (ecg) is remarkable for t-wave inversions in the lateral leads. which of the following is the most appropriate next step in management?

Harold, a fifty-eight year old grocery store manager, had recently been waking up in the middle of the night with abdominal pain. this was happening several nights a week. he was also experiencing occasional discomfort in the middle of the afternoon. harold decided to schedule an appointment with his physician. the doctor listened as harold described his symptoms and then asked harold some questions. he noted that harold's appetite had suffered as a result of the pain he was experiencing and as a result of the fear that what he was eating may be responsible for the pain. otherwise, harold seemed fine. the doctor referred harold to a physician that specialized in internal medicine and had harold make an appointment for a procedure called an endoscopy. the endoscopy was performed at a hospital later that week. during the procedure, a long, thin tube was inserted into harold's mouth and directed into his digestive tract. the end of the tube was equipped with a light source and a small camera which allowed the doctor to observe the interior of harold's stomach. the endoscope was also equipped with a small claw-like structure that the doctor could use in order to obtain a small tissue sample from the lining of harold's stomach, if required. the endoscopy revealed that harold had a peptic ulcer. analysis of a tissue sample taken from the site showed that harold also had an infection that was caused by helicobacterpylori bacteria. the doctor who performed the endoscopy gave harold prescriptions for two different antibiotics and a medication that would decrease the secretion of stomach acid. the doctor also instructed harold to schedule an appointment for another endoscopy procedure in 6 months. 1. list the subjective findings in this case study. 2. what is an endoscopy? (2 points) what is a biopsy? 3. how was a biopsy performed on harold? 4. differentiate between gastric and duodenal ulcers by location. 5. what role does h. pylori play in the formation of peptic ulcers? 6. define occult and frank blood. (4 points) what is a guaiac test? 7. how can peptic ulcers cause bleeding? 8. why were antibiotics prescribed? 9. why would a medication that would decrease the secretion of stomach acid be beneficial?

Which of the following is an example of airborne transmission? a. sneezing by an infected person not covering his mouth b. acquiring a disease from an insect bite c. fomites, such as hospital bedding and linen d. inanimate objects, such as medical equipment and supplies

A65-year-old male was admitted for evaluation of pain on swallowing and a sore throat that has persisted for the past year. the discomfort has not changed with the use of various over the counter cold remedies. the client has lost weight due to a decrease in appetite and difficulty swallowing. he has smoked 3 packs of cigarettes a day for 40 years.a laryngoscopy showed a subglottic mass. the client had a total laryngectomy with a tracheostomy to manage laryngeal cancer. he also has a nasogastric tube in place. you will be providing care for this client during his first 72 hours after surgery. a. select one nanda-i nursing diagnosis and describe why it is a priority for this client. b. what is the cause or related factor for this nanda-i nursing diagnosis? c. identify an outcome for this nanda-i nursing diagnosis. the outcome must be patient-centered and measurable. d. identify two (2) nursing interventions that will this client achieve the outcome. e. describe how each intervention will the patient achieve the outcome.