
(1)
To determine:
Does the patient have an actual allergy to codeine? What else could be happening?
Case summary:
A 38-year-old patient admitted in hospital complains about that she is allergic to codeine. Whenever she takes codeine, it is knocking her out and this problem persists for all her sisters in the family too. She complains that she is allergic to codeine all of her lifetime.
(2)
To determine:
Should the nurse tell the patient's sister and daughter? Explain your answer.
Case summary:
The oncologist explains to the patient along with the nurse that the patient has a high risk for development of breast cancer based on her genetic test. Doctors explain that the patient has a type of oncogene, which will cause cancer in the next five years. The doctor advises the patient to undergo a bilateral mastectomy to avoid future complications and as well to share this information with her sisters and daughters. This is because they also might have chances to develop the breast cancer in the future. The patient said to the nurse that she has not talked to one her sister for long and she is not sure that her sister will believe her. She also does not want to worry about her daughter since she is too young to acquire breast cancer.
(3)
To determine:
What is the best way for the nurse to handle this situation?
Case summary:
The oncologist explains to the patient along with the nurse that the patient has a high risk for development of breast cancer based on her genetic test. Doctors explain that the patient has a type of oncogene, which will cause cancer in the next five years. The doctor advises the patient to undergo a bilateral mastectomy to avoid future complications and as well to share this information with her sisters and daughters. This is because they also might have chances to develop the breast cancer in the future. The patient said to the nurse that she has not talked to one her sister for long and she is not sure that her sister will believe her. She also does not want to worry about her daughter since she is too young to acquire breast cancer.

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Chapter 8 Solutions
Pharmacology and the Nursing Process, 8e
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