Martha is a 75-year old woman who has terminal cancer of the bladder. During the course of hertherapy, she sustains third degree radiation burns to her lower abdomen and pelvic area Herwounds are extensive and deep involving her abdominal wall, bladder and vagina. The doctororders frequent medicinal douches and wound irrigation. These treatments are very painful andthe patient wants the treatment discontinued but is too timid to actualy refuse them. Thedoctor will not change the order.1. Discuss the situation in terms of beneficence and non- maleficence2. How does this patient express her autonomy?3. What is the nurse'a responsibility in assisting the patient to maintain autonomy?4. How does the nurse deal with conflicting loyalties and principle?

Introduction:- Benefience to a patient is doing intervention in form of medical aid which will help…

Answered: Martha is a 75-year old woman who has…

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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A 45 y/o male presents to your office to discuss the use of oral medication to treat of his fungal toenails but has heard that it can cause problems with the liver. While you explain to the patient that the liver is in fact a big filter where medications do pass through, what are some questions you should ask the patients about their past medical history to ensure that oral medication is an option for him? What lab tests are performed on the patient to see if they are a candidate for oral medication?
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URN: 9833360 |PATIENT: HERMIONE GRANGERDOB: 15 APRIL 2016 | PAEDS SITUATION:Miss Hermione Granger, a 5-year old girl, was brought in by ambulance accompanied by her mother following a collision with a car whilst riding her bicycle. The collision was at low speed. The injuries she sustained include a suspected fracture of her left tibia and fibula, multiple grazes across her legs and feet, left hip, and shoulder. She has a 5cm laceration on her left elbow. Hermione was wearing her helmet but has sustained a small graze above her left eyebrow. ' BACKGROUNDMiss Hermione Granger has no past medical and surgical histories. She lives at home with her parents and a younger brother. Miss Hermione Granger was born at 38 weeks gestation with no neonatal complications. Her immunisation is up to date. ASSESSMENTHer Glasgow Coma Scale (GCS) is 15, moving right upper and lower limbs with mild weakness, mild weakness in left upper limb and severe weakness in left lower limb. Both her pupils equal and…
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A 32 yr old female presented to your office complaining of abdominal pain. She states this pain started yesterday and increased over the course of a couple of hours. It is mostly in the epigastric region and does radiate at times to the RUQ. She states it has been constant since then. Currently rates it at a 7/10. She has never had pain like this before. Denies any vomiting but does complain of nausea. She denies any diarrhea or constipation. Denies any documented fevers but has felt a little chilled this am. Denies any abdominal bloating. She does state she drinks a glass of wine each evening. Denies any tobacco use or street drug use. Current labs WBC 13.2 Hgb 14.0 Hct 38.9 Plt 250 Na 142K 4.0BUN 26CR 1.2Total bilirubin 2.5 mg/dl AST 289 ALT 302Alk Phos 358 List 3 differential diagnoses for this patient and give the rationale for each one. Use the most likely differential for the gallbladder, liver and pancreas--3 diagnoses total. What additional lab tests would you order and…

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