ACTIVITY 1. CASE ANALYSIS Hemophilia is a bleeding disorder characterized by slow blood clotting process. People with this
condition experience prolonged bleeding following an injury, surgery, or having a tooth pulled. In
severe cases, bleeding occurs after minor trauma or even without an injury. Hemophilia is an inherited
disorder
Discover how this trait is inherited as you go through this module. For your inquiry, consider this
case:
N. T. is a healthy 38-year-old woman married to a healthy 40-year-old man. Their first child is a boy
with hemophilia. Their second child is a girl who is normal. Their youngest is another boy, again with
hemophilia
N. T. had a maternal uncle who had died in childhood from hemophilia and a brother who had bleeding
problems as a child but these were resolved during his adolescence.

Process Questions:

1. Is there an obvious pattern in the cases of hemophilia presented in the given situation?
2. Is there any irregularity in the inheritance of hemophilia in N. T.'s family? Why or why not?

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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 caring for a client who is receiving a continuous iv infusion of magnesium sulfate for preterm labor. the nurse should discontinue the infusion and prepare to administer calcium gluconate if the client demonstrates which of the following findings? (select all that apply) a. urine output 80 ml in 4 hr b. absence of deep-tendon reflexes c. report of chills d. decreased level of consciousness e. systolic blood pressure 130 mm hg