HELLO GOOD TUTORS DETAILED EXPLANATION IS REQUIERED

HELLO GOOD TUTORS DETAILED EXPLANATION IS REQUIERED IN THE FOLLOWING QUESTIONS HINT: the answers are in the case study below Nursing Case Study The nurse enters the room and finds Mr. Cohen hunched over his bedside table watching television. He says this position helps his breathing. His lung sounds are clear but diminished bilaterally. Capillary refill is four seconds and slight clubbing of his fingers is noted. His oxygen saturation is being assessed every two hours to monitor for hypoxia. Each assessment reveals oxygen saturation at rest of 90% to 94% on 2 liters of oxygen by nasal cannula. After breakfast, Mr. Cohen complains of lower back pain that caused him increased discomfort while ambulating to the bathroom. He describes the pain as a dull ache and rates the pain a “6” on a 0-10 pain scale. He requests two Percocet tablets. The nurse assesses Mr. Cohen’s vital signs (blood pressure 150/78, pulse 90, respiratory rate 26) and gives the Percocet as prescribed. Forty-five minutes later, Mr. Cohen states the Percocet has helped relieve his back pain to a “2” on a 0-10 pain scale and he would like to take a walk in the hall. The nurse checks his oxygen saturation before they leave his room, and it is 92%. Using a portable oxygen tank, the nurse walks with Mr. Cohen from his room to the nurse’s station (approximately 60 feet). Mr. Cohen stops to rest at the nurse’s station because he is short of breath. His oxygen saturation at the nurse’s station is 86%. After a few deep breaths and rest, his oxygen saturation rises to 91%. Mr. Cohen walks back to his room where he sits in his recliner to wait for lunch. His oxygen saturation is initially 87% when he returns and then 91% after a few minutes of rest. Expiratory wheezes are heard bilaterally when the nurse assesses his lung sounds. While Mr. Cohen waits for lunch to arrive, the nurse calls respiratory therapy to give Mr. Cohen his albuterol treatment. The respiratory treatment and rest relieves his acute shortness of breath. His oxygen saturation is now 93%, and his lung sounds are clear but diminished bilaterally. 11 why are gastric ulcers _____________ along the lesser curve, near the pylorus of the stomach? 12 What is the best time of day to administer omeprazole, and why? 13 Is it safe to use the drugs omeprazole and ranitidine during pregnancy? 14 Are non-steroidal anti-inflammatory drugs harmful to the stomach when taken parenterally, for example by intravenous or intramuscular routes? 15 Is it ____________to give a patient with a past history of bleeding _____________ aspirin in an antiplatelet dose of 75-325 mg? 16 Is sulpiride effective in the treatment of a peptic ulcer or gastrooesophageal reflux disease (GORD)? 17 Is ______ gentle on the stomach? 18 Is there a drug interaction between non-steroidal anti-inflammatory drugs (NSAIDs) and proton pump inhibitors (PPIs)? Gastrointestinal disease 6 35 19 Does antacids enhance mucosal resistance in the gastric mucosa? If so, please indicate the mechanism. 20 Is there a drug interaction between antacids and H2-receptor blockers? SCIENCE HEALTH SCIENCE NURSING NURS – 441

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