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's responaibility in assisting the patient to maintain autonomy?4. How does the nurse deal with conflicting loyalties and principle?

Martha is 75 year old suffering from bladder cancer.terminal bladder cancer When bladder cancer…

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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Mrs. Kirby is a volunteer at a hospice. She is confused about the disease AIDS and is afraid if she comes in contact with a patient’s urine or feces she may get the disease. Lauren, the licensed practical nurse, tries to reassure Mrs. Kirby she cannot get AIDS in this manner. The following actions may help Lauren explain the disease to Mrs. Kirby. Discuss the early and later symptoms.
You are working the night shift on a medical-surgical unit. You assignment includes a 19 year old woman admitted early this morning. She has sustained burns over 30% of her body surface area, with partial-thickness burns on her legs and back. Briefly discuss these: What nutritional requirements are necessary for the client’s burns to heal? What measures are taken with the client to prevent infection?
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?
Mrs. Jones is a 70-year-old woman you are admitting to the skilled nursing facility after a total hip replacement. When you obtain her past medical history, she reports a problem with a chronic rash under her breasts and in her supragluteal fold. She has tried a number of topical antifungal treatments without success. She has never seen a dermatologist. While she finds the rash a nuisance and experiences an occasional increase in itchiness, it is something she can live with. Her primary care provider diagnosed the rash as Candida and encouraged her to keep the area clean and dry and to use antifungals. Recently, her 42-year-old daughter was diagnosed with psoriasis and asked about a family history of the disease. Mrs. Jones was unaware of anyone in her or her husband’s family with that diagnosis. On physical examination, you note a shiny, erythematous lesion with symmetrical distribution under both breasts. It is well demarcated without drainage and without the presence of any…
An antibiotic is administered once daily in the intensive care unit to treat sepsis caused by an abdominal wound. Serum and urine concentrations of the drug are monitored during the course of therapy. Ten days after therapy is discontinued, the drug is still detectable in urine. Which of the following antibiotics was administered? Azithromycin Chloramphenicol Doxycyclin Gentamicin
A 54-year-old man presents with a 12-hour history of headache, confusion and declining consciousness. His wife says that he has recently completed oral chemotherapy for an ‘indolent form of leukemia’. Examination reveals him to be responding to painful stimuli but not to verbal commands. He has bilateral axillary and inguinal lymphadenopathy. He is clinically jaundiced and anemic. His spleen is palpably enlarged. He has neck stiffness, generalized hyper-reflexia and bilateral up going plantar reflexes. Fundal examination is normal, and there are no focal neurological signs. Full blood count shows: Hemoglobin (Hb) 7.5 g/dL White blood cells (WBC) 37 × 109/L (lymphocytes 86%) Platelets 26 × 109/L What blood component is best to harvest to find out the patient’s disease? Why lymphocytes are prevalently seen in the peripheral blood film? What is the clinical significance of the platelet count? NOTE: If you could answer all the questions please. Thank you!
A 70-year-old client is seen in the emergency department with an urinary tract infection. The provider orderssulfamethoxazole /trimethoprim. Which medication should the nurse alert the provider about, if given with the medication combo sulfamethoxazole /trimethoprim?
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Write the term the phrase describes. 1. Attaches the heart to the body cavity 2. Covers the surface of the lungs 3. Covers the surface of abdominal organs 4. The lubricating liquid in serous cavities 5. Circle the organs that are found within the peritoneal cavity: pancreas, liver, kidney, spleen, adrenal glands, abdominal aorta, inferior portions of vena cava, stomach
Which treatments would be valid strategies for a cancer that had become metastatic and spread to many parts of a patient's body? (select all that apply) Group of answer choices surgery targeted DNA repair inhibitors immunotherapy radiation therapy chemotherapy
Mrs. Kirby is a volunteer at a hospice. She is confused about the disease AIDS and is afraid if she comes in contact with a patient’s urine or feces she may get the disease. Lauren, the licensed practical nurse, tries to reassure Mrs. Kirby she cannot get AIDS in this manner. The following actions may help Lauren explain the disease to Mrs. Kirby. Describe the modes of transmission.
Our pharmacy is located near several pediatricians’ offices, and each of these pediatricians has a preferred mouth rinse for sore throat. One doctor writes a combination of lidocaine, antacid, and Benadryl for a sore throat. Depending on the cause of the sore throat, she may add nystatin, an antifungal medication, or acyclovir, an antiviral medication. A typical prescription will read: antacid 1 part, lidocaine 2 parts, Benadryl 1 part, and nystatin 4 parts; dispense 8 ounces. We have found one of the simplest ways to calculate the amount of each drug to mix is by using fractions. First we add up the total number of “parts,” and this becomes our denominator or bottom number. For this compound, the denominator is 1 + 2 + 1 + 4 = 8. The numerator or top number is how many parts of that ingredient are used. For example, two parts of the mixture are lidocaine, so lidocaine is 2/8 of the mixture. To calculate how many ounces of lidocaine are needed, the fraction is multiplied by the total…

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