An 83-Year-Old Man with Mild Cognitive Impairment Is Transported from an Assisted

question 85

Multiple Choice

An 83-year-old man with mild cognitive impairment is transported from an assisted living facility with a 2-day history of abdominal pain and decreased oral intake.  He has no vomiting, fever, or urinary symptoms.  He underwent coronary artery bypass grafting 6 years ago.  The patient also had a stent placed in his superficial femoral artery 3 years ago for claudication due to peripheral artery disease.
His temperature is 37.3° C (99.2° F) , blood pressure is 127/77 mm Hg, and pulse is 102/min.  He appears uncomfortable.  Examination shows dry membranes.  The abdomen is distended, diffusely tender, and tympanic to percussion.  There is no rebound tenderness or rigidity.
Laboratory results are as follows:

Contrast abdominal imaging, shown below, reveals a large, air-filled sigmoid colon with absence of air in the rectum.

Which of the following is the best next step in managing this patient?

• A)Flexible sigmoidoscopy
• B)Nasogastric suction and broad-spectrum antibiotics
• C)Oral lactulose
• D)Sodium phosphate enema
• E)Surgery

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Definitions:

Diversified

A strategy employed to reduce risk by allocating investments among various financial instruments, industries, or other categories.

Product Costing

The process of determining all costs incurred to bring a product to market, including materials, labor, and overhead.

Quality Assurance

A systematic process designed to determine whether a product or service meets specified quality standards.

Traditional Product Costing Systems

Costing methods that typically allocate overhead costs based on a single volume-based cost driver, which may not accurately reflect the actual resources consumed by products.