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REFERENCE: Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 10th Edition, Volume 1, Page 1026
REFERENCE: Brunner and Suddarth's Textbook of Medical-Surgical Nursing, 10th Edition, Volume 1, Page 1026
College of Nursing
Legarda – Pasay - Pasig
Competency Appraisal 1 / COURSE AUDIT 1 / CAA 1
DLP
INSTRUCTIONS. Answer the following questions. Write your answers neatly and clearly with complete
citation of reference used (with pages). 25 pts
Situation: Amanda is a 37 year old who has had a esophageal surgery for carcinoma. She is receiving
250 ml of liquid nutrition over a 15 minute period every 4 hours through a nasogastric tube.
1. Amanda tells the nurse that she is experiencing diarrhea. The nurse suspects that the client is
suffering from dumping syndrome:
a. What is a dumping syndrome? (1pt)
- dumping syndrome refers to an unpleasant set of vasomotor and GI symptoms that sometimes occur
in patients who have had gastric surgery or a form of vagotomy. It may be the mechanical result of
surgery in which a small gastric remnant is connected to the jejunum through a large opening.
c. What are the manifestations of dumping syndrome? Give at least 3 symptoms (3pts)
- sensation of fullness
- weakness
- diaphoresis
(REFERENCE: Brunner and Suddarth’s Textbook of Medical-Surgical Nursing,10th Edition, Volume 1, Page 1026)
Situation: Andrew, a 15 year old is admitted at the hospital with a possible diagnosis of appendicitis.
He had been symptomatic for several days before admission:
1. What is the possible cause of appendicitis? (1pts)
- obstruction of the appendix and is particularly vulnerable to infection
Situation: Diabetes is one of the leading causes of pathologic conditions which often leads to mortality
of the individual.
1. Differentiate Type 1 DM from Type 2 DM (8pts)
Type 1 DM Type 2 DM
Age of Onset Early, before 30 years old Type 2 diabetes occurs most
commonly in people older than
30 years who are obese.
Body Built People with type 1 diabetes are A metabolic disorder
often thin to normal weight and characterized by the relative
often lose weight prior to deficiency of insulin production
diagnosis and a decreased insulin action
and increased insulin
resistance. Also called non-
insulin dependent or adult
onset.
Description A metabolic disorder Hyperglycemic Hyperosmolar
characterized by an absence of Non- ketotic coma
insulin production and secretion
from autoimmune destruction of
the beta cells of the islets of
Langerhans in the pancreas.
Also called insulin-dependent or
juvenile.
Acute Complication Diabetic ketoacidosis
REFERENCE: Brunner and Suddarth’s Textbook of Medical-Surgical Nursing 10th Edition, Volume 2, Page 1150-1154
Hypoglycemia Hyperglycemia
Blood Sugar Level Low blood glucose level, less Fasting level greater than 110
than 50- 60 mg/dl mg/dl
REFERENCE: Brunner and Suddarth’s Textbook of Medical-Surgical Nursing10th Edition, Volume 2, Page 1178 - 1186