7. For some time, Adam has been experiencing fever, lethargy, muscle swelling and tenderness, and a rash on his face, chest, and eyelids. After a number of blood tests and
treatments with various anti-inflammatory agents, the symptoms have not been
alleviated-in fact, they seem to be worsening. The strength of Adam's upper limb
muscles is measured at significantly below normal (3-) on both sides of his body. Based
on these signs and symptoms, his physician orders a muscle biopsy. Which muscle
disorder does the physician suspect? What questions could the physician ask to aid his
diagnosis, and how can the biopsy help identify the disease affecting Adam?

11. two 1 l iv bags are to be administered at 150 ml/hr. how long will the iv last? round to the nearest hundredths

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?

Anurse is reviewing the medication administration record of a client who reports having a dry productive cough for the past 2 weeks. which of the following medications should the nurse report to the provider? a. furosemide b. lisinopril c. diltiazem d. metoprolol