Scenario 3
Devin (age 17) and Carlos (age 16) were known around the neighborhood as "future Felons" because
of their frequent run-ins with the law. One afternoon, they decided they wanted to run the local drug
dealer out of business and take over his clientele. In order to accomplish this, the boys needed
money. So they came up with a plan. The next evening. Devin and Carlos put on dark clothing and
ski masks and broke into the corner drugstore about an hour after closing. Neither of them was
aware of a night watchman, so when Mr. Hernandez surprised them, Devin, who was carrying a gun,
accidently shot and killed Mr. Hernandez. Frightened, both boys fled the scene. When the
pharmacist arrived the next morning, she found Mr. Hernandez lying in a pool of blood in front of the
prescription counter.
Questions:
1. What is the cause of death?
2. What is the mechanism of death?
3. What is the manner of death?
4. Should anyone in the scenario be charged with murder? Why or why not?

Describe the effects and potential risks associated with pica. include lead poisoning in the discussion.

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 reviewing the medication administration record of a client who reports having a dry productive cough for the past 2 weeks. which of the following medications should the nurse report to the provider? a. furosemide b. lisinopril c. diltiazem d. metoprolol