Chapter 2, Problem 1.1CS

Subpart 10

A 9-year-old girl who has a terminal illness asks the physician, "Am I going to die?". The child's parents previously told the physician that they do not want the child to know her diagnosis or prognosis. Which of the following represents the best response by the physician to the child's question? Answers A - E A "Do not worry, you will be fine and cured" B "Yes, unfortunately there is a possibility you will die of the illness" C "Tell me what your parents have told you about your illness" D "Your parents do not want me to talk to you about your illness" ... E "Many children with this kind of illness live a long time".

Case #2Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years, but quit 3 years ago. Part 1: What is his arterial-venous oxygen content (Ca-vO2) difference? Part 2: Calculate his extraction ratio please.

Case #2Mr. H is a 52-year-old male who presents to the emergency department. His left leg is in a cast, and he states that 1 week ago he was in an automobile crash and broke his upper leg. Since that time he has had difficulty “getting around” and has mostly been lying on the couch watching television. On the evening of admission he noticed a sudden onset of dyspnea and chest pain. He denies having orthopnea, cough, hemoptysis, or wheezing. He smoked two packs of cigarettes a day for 19 years, but quit 3 years ago. Mr. H suggests hypoxemia and respiratory alkalosis which might be an indication of serious illness such as pulmonary embolism. Part 1: His arterial-venous oxygen content (Ca-vO2) difference is  5.73 mL/dL Part 2: His extraction ratio (ER) 0.276 or 27.6% What is clinically happening to the patient? Please explain.

Provide a possible diagnosis for the following Cardiovascular Case. A 64 year old male was brought to the emergency room due to severe chest heaviness and dyspnea 30 minutes ago upon waking up this morning. He is has diabetes mellitus and hypertension for the past 20 years, but neither takes his medications regularly nor follows up with his internist. He is a banker for the past 40 years and loves to spend his weekend in a drinking spree with his close friends. He also smokes 10 sticks of cigarettes since he was in high school. He usually feels some mild chest heaviness when walking long distances but feels improvement after he rests. For the past week, he is stressed because of the demands of his work and slept in the late hours of night due to his work-from-home set-up. He has a family history of coronary artery disease and myocardial infarction, as well as hypertension and diabetes. At the emergency room, he is restless due to persistent angina and dyspnea. His Blood Pressure is…

List 6 nursing interventions for prevention of an occluded central catheter:

A 62-year-old man is admitted to hospital with chest pain. The pain is in the center of the chest and has lasted for 3 h by the time of his arrival in the emergency department. The chest pain radiated to the jaw and left shoulder. He felt sick at the same time. He has a history of chest pain on exercise which has been present for 6 months. He has smoked 10 cigarettes daily for 40 years and does not drink alcohol. His father died of a myocardial infarction aged 66 years and his 65-year-old brother had a coronary artery bypass graft 4 years ago. Q1. Based on above finding what case it may be explain in detail with common symptoms and laboratory diagnosis?

Explain why a tooth extraction or scaling procedure could posea special danger to an individual with an altered heart valve.

Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing early this morning. The incision is closed with staples; the edges are well…