A 40-year-old woman comes to the physician for a health maintenance examination. She does not smoke or drink alcoholic beverages. Physical examination shows noabnormalities. Laboratory studies show:SerumUrea nitrogenGlucose, fastingCreatinineCholesterol, totalTriglyceridesUrineBloodGlucoseKetones17 mg/dL151 mg/dL1.2 mg/dL188 mg/dL163 mg/dLnegative1+negativeThis patient is at increased risk for developing which of the following renal abnormalities during the next 20 years?A) Crescentic glomerulonephritisB) Hyperplastic arteriolosclerosisC) Membranoproliferative glomerulonephritisD) Minimal change diseaseE) Nodular glomerulosclerosisF) Renal cell carcinoma

Nodular glomerulosclerosis is a kidney disease which is associated with diabetic nephropathy. It…

Answered: A 40-year-old woman comes to the…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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CASE: URINARY TRACT INFECTION A 27-year-old woman comes in with a prescription for nitrofurantoin tablets 50 mg q.d.s. for three days and requests to speak with the pharmacist. She explains that her doctor tested her urine with a "colored strip" and diagnosed her with a urinary tract infection (UTI). She is experiencing significant discomfort when urinating due to a burning/stinging sensation, and her doctor has advised her to purchase Effercitrate over the counter. A friend suggested she also buy cranberry juice. 6. Aside from nitrofurantoin, list and describe other antibiotics used to treat urinary tract infections. 7. What lifestyle advice can be offered to patients with cystitis? 8. The following are some UTI myths; discuss whether they are true or not. a. UTIs are spread through sexual partners.b. A UTI can be avoided by drinking cranberry juice.c. UTIs can be avoided by wiping from front to back, avoiding tight clothing, and urinating after intercourse.d. A high salt diet…
A 27-year old woman of 35 wks gestation with gestational diabetes reports having headaches for the last day that will not go away. Discuss what questions you would ask the patient, and what further testing you would want to have performed.
Mehmet Yavuz is 62 yo. He presented to the clinic and after having an HbA1c test (result 9%) was diagnosed with type 2 Diabetes mellitus.His cardiovascular risk was > 15%. His renal health screen showed an eGFR 90 mL/min/1.73m2 with microalbuminuria of 3.5 mg/mmol.He attended a podiatry appointment which detected decreased dorsalis pedis and posterior tibialis pulses in both legs . Management of his condition now includes the following: Exercise: at least 150 minutes of aerobic and 60 minutes of resistance exercise each week Diet: a plan worked out with an accredited dietician based on the Australian Dietary Guidelines (2013). Drug use: smoking cessation plan to stop cigarette use; alcohol consumption reduction to 1 - 2 full strength beers every second day Weight loss: Mehmet aims to lose 5 kg over the first 6 - 8 weeks after diagnosis. Medications: Jardiamet (empagliflozin 5mg, metformin 500 mg), twice daily, with or after food ramipril 5 mg, daily Rosuzet (rosuvastatin 20mg,…
Which of the following lifestyle changes is NOT typically recommended to patient’s with GERD? Avoid eating several hours before sleeping Avoid spicy and acidic foods Weight loss Monitor blood glucose levels
What condition does this patient likely have?
At 8am, 52 year old female (patient X) is admitted to the medical ward you are assigned in due to uncontrolled hyperglycemia and a mild edema on her feet. She was previously diagnosed with Diabetes Mellitus type II. She has history of diabetes, hypertension and heart disease. You are assigned to her during the 6am-2pm shift. The attending physician ordered Diabetic Diet, Metformin 500mg tablet TID and a sliding scale of insulin if blood sugar is above 200mg/dl. Blood sugar monitoring is ordered every four hours for the first 24 hrs. It is also ordered 1L of PNSS for 12 hours and insert Foley catheter and monitor urine output. You successfully started the infusion at 9am. Since Patient X has missed the morning dose of metformin, you immediately gave her the morning dose with 100ml of water, the 1 pm; you gave her another dose with again 100ml water after her lunch. At 10am, you drained her urine bag and got 105 ml output and again, you drained 150ml at 2pm prior to leaving your patient.…
Kelly is a 36-year-old female who has a history of type 2 diabetes, several respiratory infections as a child, and two full-term pregnancies (5 and 7 years ago). Two days ago, she began feeling a burning sensation when urinating. Her pain is progressively getting worse. Kelly assumes that she has a urinary tract infection (UTI) and makes an appointment at her primary clinic to seek relief.Kelly will likely be prescribed short-course antibiotics for treatment. She may also be prescribed an analgesic. How would this help her, physiologically?
A 48 year old female is admitted with the diagnosis of pancreatitis. She is complaining of nausea, vomiting and severe muscle weakness. The electrocardiogram shows frequent premature ventricular contractions. Her symptoms are most likely due to
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Mrs. Sara Jones, an 84-year-old,250 lbCaucasian female, is admitted to the unit for a hip fracture. She has been active and likes to garden. She does admit to smoking a pack of cigarettes a day. She also has a history of atrial fibrillation, which is why she receives Coumadin 2 mg every day. Mrs. Jones will require general anesthesia for her hip surgery. She is very apprehensive since being admitted 2 hours ago. (Learning Objectives 1, 2, 3, 4, 5, 7, 8, 9) 1. What risk factors for surgery does Mrs. Jones have? 2. What laboratory results of this client should the nurse review? Why? 3. Discuss what steps should be taken in preparing this client for the postoperative care.
A 50-year-old woman presents for a follow-up visit to discuss the laboratory results from her annual physical examination and a treatment plan. Her total serum cholesterol level is 260 mg/dl, which is up from 200 mg/dl the previous year. Her blood pressure is 140/100 mm Hg, which is up from 135/90 mm Hg; she weighs 165 lb, a gain of 12 lb from the previous year. Results from other tests and her physical examination are normal. Her height is 5 ft 3 in. She is postmenopausal and has been receiving hormonal replacement therapy for 2 years. You discuss her increased lipid levels and increased blood pressure in the context of her weight gain and dietary habits. When asked about her dietary habits, she says that she has heard that putting salt on food causes high blood pressure. She asks if she should stop putting salt on her food because her blood pressure is high. How would you describe for this patient the relationship between sodium and hypertension? O A. Tell her that reducing sodium…

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