Arellano University

College of Nursing
Legarda – Pasay - Pasig
Competency Appraisal 1 / COURSE AUDIT 1 / CAA 1
DLP

Nursing Care Management 103 B (MS 2)

NAME: ___________________________________________ BRANCH: __________________________

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)

b. What may cause the dumping syndrome? (1pt)

c. What are the manifestations of dumping syndrome? Give at least 3 symptoms (3pts)

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)

2. What are the positive indicators of appendicitis? Give at least 3 (1pts)

3. What is rebound tenderness? (1 pt)

4. What is the common site where pain is elicited upon palpation? (1pt)

5. What is the major complication of Appendicitis? (1 pt)

6. When does perforation usually occurs? (1pt)

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

Body Built

Description

Acute Complication

2. Differentiate Hypoglycemia from Hyperglycemia (4pts)

Hypoglycemia Hyperglycemia
Blood Sugar Level

Causes