1. A female presents to your office
1. A female presents to your office after a R-en-Y gastric bypass 90 days ago for morbid obesity and HT. She has lost weight rapidly after surgery, but he c/o nausea and vomiting with hand tingling for the last 2 weeks. When she spoke with her surgeon, she was prescribed Reglan, and she was advised to see her PCP. On exam today, her gait is unsteady; she appears a bit confused and nystagmus is present. Otherwise, her exam is normal. Select the appropriate next step in her management: O Reassurance and continue oral vitamin supplements and oral hydration O Referral for endoscopy to treat her likely gastric outlet stenosis O Urine toxicology screen for illicit drug use O Emergent administration of parenteral thiamine administration 2. You are seeing a patient with the following labs: Hep B surface antigen + Hep B surface antibody – Hep B core antibody IgM + Hep Cantibodies – Hepatitis A antibodies IgM and IgG + How do you interpret these findings? O Acute Hepatitis C infection and past Hepatitis A infection O Chronic Hepatitis B infection and acute Hepatitis A infection O Acute Hepatitis B and remote Hepatitis A (within the last 6-12 months] O Past Hepatitis B infection and past Hepatitis A infection SCIENCE HEALTH SCIENCE NURSING NURS GERONTOLOG
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