ATI LPN · Medical Surgical Nursing · Gastrointestinal System Questions and Answers

Which of the following drug and loading dose combinations are recommended for immediate antiplatelet therapy of an NSTEMI?

A previously healthy 42-year-old woman presents to the emergency room complaining of a 10-day history of abdominal pain and fever. She also notes that for the last three days her urine has been dark. She denies alcohol intake or illicit drug use. Her last menstrual period ended five days ago. Physical examination reveals tenderness in right upper quadrant and icteric discoloration of the skin, but no palpable mass in the abdomen. Blood tests demonstrate a white blood cell count of 8.3/ L, total bilirubin of 3.4 mg/dL, alkaline phosphatase of 280 IU/L, amylase of 54 U/L, and lipase of 47 U/L. A CT scan of the abdomen demonstrates a dilated biliary duct (18 mm in diameter) with a possible stone in it. There are no stones in the gallbladder. The intrahepatic ducts are not dilated. The pancreas appears normal. The patient is admitted to the hospital. The next morning an ERCP is performed and reveals a single choledochal cyst (2 cm in diameter) of the common bile duct with a single stone inside the cyst. Endoscopic sphincterotomy is done and the stone is removed from the choledochal cyst. What further management would you offer this patient?

Each of the following organs is a component of the digestive tract except one. Identify the exception.

In the stomach lining, the parietal cells release _________ and the chief cells release __________ which both play a role in peptic ulcer disease.

Which of the following cell types is characterized by secretory vesicles concentrated in basal cytoplasm, near the basement membrane?