Alicia Morgan, age 50, has a history of bariatric surgery and chronic gastroesophageal reflux. Alicia reports fatigue, numbness and tingling in the feet, reduced intake, and unintended weight loss. She is later admitted with severe epigastric pain radiating to the back, nausea, and vomiting. Laboratory testing shows elevated lipase and nutritional deficiencies. After several days of poor intake, nutrition support and gastrointestinal medications are prescribed.

Which factors in Maya’s situation may delay wound healing? Select all that apply.

Maya develops immediate hives and wheezing after exposure to a medication. Which mechanism is most consistent with this reaction?

Alicia is prescribed famotidine. Which mechanism explains its therapeutic effect?

Robert is transitioned to oral warfarin. Which statement indicates correct understanding of the treatment plan?

Which clinical situation most clearly supports the use of parenteral rather than enteral nutrition?

After recovery, Maya receives a hepatitis B vaccine. Which response explains the protection provided by the vaccine?

Ibuprofen is prescribed for Maya’s inflammatory joint pain. Which mechanism explains its therapeutic effect?

Nutrition is restarted rapidly after prolonged inadequate intake. Which mechanism places Alicia at risk for refeeding syndrome?

Maya’s family asks how ceftriaxone, a third-generation cephalosporin, compares with other cephalosporin generations. Which statement best describes the general pattern across cephalosporin generations?