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.

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Answer 1

Question

Chapter 8, Problem 1CS

(1)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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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A 65 year old male with a small bowel obstruction is to be started on TPN. He is 5’ 9” and weighs 70 kg. 3.1 What is his kcal requirements using Mifflin St Jeor equation? Assume an activity factor of 1.2. 1770 kcal 1980 kcal 2020 kcal 2080 kcal 3.2 What is his fluid requirements (ml)? 2000 ml 2100 ml 2200 ml 2300 ml 3.3 The patient has just undergone a small bowel resection. His albumin dropped to 2.2. He has no significant past medical history except for a minor bicycle accident when he was 10 years old. How many grams of protein will this patient require based on your assessment? 105 – 126 g/day 110 – 130 g/day 84 – 105 g/day 110 – 180 g/day

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Nutrition Internvention

Answer 2

Question

Chapter 8, Problem 1CS

(1)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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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Answer 3

Question

Chapter 8, Problem 1CS

(1)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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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Answer 4

Question

Chapter 8, Problem 1CS

(1)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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.

Expert Solution & Answer

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Answer 5

Chapter 8, Problem 1CS

(1)

Summary Introduction

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)

Summary Introduction

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)

Summary Introduction

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.

Answer 6

Chapter 8, Problem 1CS

(1)

Summary Introduction

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.

Answer 7

Chapter 8, Problem 1CS

(1)

Summary Introduction

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.

Answer 8

(2)

Summary Introduction

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.

Answer 9

(2)

Summary Introduction

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.

Answer 10

(3)

Summary Introduction

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.

Answer 11

(3)

Summary Introduction

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.

Answer 12

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Answer 13

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Answer 14

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Answer 15

Ch. 8 - Prob. 1O Ch. 8 - Prob. 2O Ch. 8 - Prob. 3O Ch. 8 - Prob. 4O Ch. 8 - Prob. 5O Ch. 8 - Prob. 6O Ch. 8 - Prob. 7O Ch. 8 - Prob. 8O Ch. 8 - Prob. 1CS Ch. 8 - Prob. 1NERQ

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