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(1)
To determine:
Explain the laboratory studies that need to be performed before drug therapy with propylthiouracil has started.
Case summary:
R.C., a 28-year-old woman, has been diagnosed with hyperthyroidism due to Grave’s disease. Her health care provider has explained the proposed therapy with propylthiouracil to her and her husband. She has no other health problems at this time.
(2)
To list:
The R.C. asks, “What do I need to know while I’m taking this drug?” List pertinent patient teaching points.
Case summary:
R.C., a 28-year-old woman, has been diagnosed with hyperthyroidism due to Graves’ disease. Her health care provider has explained the proposed therapy with propylthiouracil to her and her husband. She has no other health problems at this time.
(3)
To determine:
After 1 month of therapy, R.C. comes to the health care provider’s office for a follow-up visit. She is upset because a friend told her about a relative who had antithyroid therapy for cancer and said he was “radioactive.” She is wondering if her medication has made her “radioactive”. How will the nurse answer her question?
Case summary:
R.C., a 28-year-old woman, has been diagnosed with hyperthyroidism due to Graves’ disease. Her health care provider has explained the proposed therapy with propylthiouracil to her and her husband. She has no other health problems at this time.
(4)
To determine:
Six months later, R.C. calls the office and says, “I think I might be pregnant. What do I do about taking this drug?” What does the nurse need to tell her?
Case summary:
R.C., a 28-year-old woman, has been diagnosed with hyperthyroidism due to Graves’ disease. Her health care provider has explained the proposed therapy with propylthiouracil to her and her husband. She has no other health problems at this time.
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Chapter 31 Solutions
Pharmacology and the Nursing Process, 8e
- Based on the CRNA's "Professional Boundaries Guidelines for the Nurse-Client Relationship", 1. Define professional boundaries:2. Define boundary crossings:3. Define boundary violations:4. List 6 boundary warning signs.5. How will you ensure you don’t cross professional boundariesarrow_forwardEffective work-groups and communication are crucial for any organization to achieve its mission, vision, and goals. For example, the chief executive officer (CEO) of a hospital has many high-level responsibilities, including working on the upcoming budget. This requires group thinking with department managers and the administrative team working together. Communication in groups is important because without it there is an increased risk of conflict, tension, and misunderstandings in the workplace. Good communication is vital because it is the foundation of a healthy culture and a properly functioning team. When a team has excellent communication, all other aspects of a business can flourish. Consider the collaboration process, then share an example of an effective work group used in health care. Discuss one effective communication technique used in a group setting and explain why it is important. Discuss at least one conflict that can occur during a team project.arrow_forward41. Name this strip: 42. Name this strip: السم السهم السم السم السهم السم السم السمر السم 43. Name this striparrow_forward
- ►A person with the dumping syndrome cannot handle image.png A patient with cystic fibrosis, who non-compliant with their nutritional prescription, may present with ▸ After a gastrectomy, the diet order should indicate a decrease in O Polysaccharides O complex CHO Disaccharides O Amino acids ►Which bacteria may cause gastric ulcers? Helicobacter pylori O salmonella O Clostridium perfringens O Streptococcus Aureus O Hypernatremia Hyponatremia O Hypokalemia O Hyperkalemia The diet for hepatic coma is low in PRO due to O high LDL O high cholesterol levels O high ammonia levels O low ammonia levels low cholesterol levels O fats O protein O Complex CHO disaccharides ► Esophageal varices may be caused by: O high fiber diet O gastric irritants O high fiber, high residue diet O portal hypertension O portal hypotensionarrow_forward▷ Nutritional therapy for hepatitis includes: O high PRO, low CARB, low fat, moderate calories Olow PRO, high CARB, low fat, low calories Olow PRO, high CARB, low fat, high calories O high PRO, high CARB, moderate fat, high calories ► Gastric irritants include O caffeine, black pepper, nuts, alcohol O orange juice, black pepper, chili powder, alcohol O seeds, nuts, chili powder, black pepper, alcohol cocoa, black pepper, chili powder, caffeine, alcohol ► A patient with chronic pancreatitis should consume oral pancreatic enzymes: ► What is the diet for hypertension? with large meals and fatty foods Only if steatorrhea increases With all meals and snacks O Only if consuming a high fat, low protein diet O Low sodium, high calcium O Low sodium, high potassium O low sodium, high potassium, high calcium Low sodiumarrow_forwardA patient with hepatitis needs a high protein intake. Besides helping the liver regenerate, what other purpose is served? it helps increase iron absorption It restores glycogen reserves O It helps prevent a fatty liver O It helps prevent necrosis of the liver Following Billroth II, steatorrhea often results. What is the likely cause? O Rapid absorption of simple CHO O a diet restricting simple CHO O Lack of pancreatic secretion due to less duodenal hormone secretion bacterial overgrowth in the remaining loop ▸ Which of the following diets is appropriate for reactive hypoglycemia? Reduce intake of concentrated CHO, 5-6 small meals Increased complex CHO, low fat, high PRO O Decreased complex CHO, low fat O high PRO, high fat, high CHO A patient with Crohn's disease needs the following diet: O high fat, high calorie, high protein low fat only with steatorrhea, vit. C, B12, calories according to current BMI, high protein. O low calorie, low residue, fat soluble vitamins, B12 O high…arrow_forward
- Some children born with certain congenital conditions experience substantial suffering and pain. If extraordinary means are used to keep these children alive, they may live for a few weeks but not without continual medical intervention. If allowed to die at birth without intervention, they will live a few hours at most. Case Study #1 Questions: Develop philosophy (argument) for using extraordinary means. Develop a philosophy (argument) against using extraordinary means.arrow_forwardCreate 5 examples of questions as a nursing student that applies to this rubric "Thoroughly describes key insights gained from the interview, including the professional’s role, contributions to teamwork, and perspectives on interprofessional collaboration."arrow_forwardA patient weighing 60kg is prescribed intravenous dopamine 4 micrograms/kg/minute The dopamine you have in stock is 200mg in 50ml glucose 5% Calculate the infusion rate in mls/hourarrow_forward
- A patient weighing 60kg is prescribed intravenous dopamine 4 micrograms/kg/minute The dopamine you have in stock is 200mg in 50ml glucose 5% What percentage of the total hourly dose is given each minutes?arrow_forwardA patient weighing 60kg is prescribed intravenous dopamine 4 micrograms/kg/minute The dopamine you have in stock is 200mg in 50ml glucose 5% What fraction of the hourly dose is given each minute?arrow_forwardtabase a. Patient Profile Patient’s Name: P.B.S. Birthdate: 08/05/1990 Race: Asian Age: 34 y/o Gender: Female Weight (Kg): 59.6kg Height (cm): 148 cm BMI:27.21 kg/m^2 Religion: Roman Catholic Nationality: Filipino Occupation: NA Address: Physician: Dr. Elmer T. Bondoc, MD Admitting Diagnosis: Anal Fistula Name of informant: Admission Date: b. Chief Complaint Fistula in anus c. Admitting Diagnosis Anal Fistula d. History of Present Illness The patient experiences anal pain, discharge, itching, and bleeding. Due to the persistence of these symptoms, a consultation was sought after an unclear antibiotic treatment. Since the symptoms continued intermittently, a second opinion was obtained, and surgery was recommended. Make a prioritization and 2 nursing care plan based on the prioritization based on the dataarrow_forward
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- Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier ScienceStudy Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:SaundersIssues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
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