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- A/An _______________ is performed to gain access to the brain or to relieve intracranial pressure.An elderly man presents himself to the ER. He has contractures and paralysis of his let hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2 What ethical principles are involved? 3. Should the nurse locate the patient and ensure that he is not endangering himself or others by driving? Would this be a breach of contidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?The nurse is caring for a client with pneumonia who has guaifenesin prescribed. The client asks the nurse "what is the syrup for? How will the respond to reinforcing teaching points regarding this medication therapy?
- A dose of an opioid medication (45mg) and an anticholinergic medication (0.3mg) has been ordered for preoperative sedation. The opioid medication is provided in a prefilled syringe containing 50 mg/ml and the anticholenergic medication is provided in a vial containing 400 mcg/ml. What is the total volume that the nurse will inject?An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating. She asks if someone is accompanying him, He shakes his head. The nurse asks him how he came to the hospital, He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. 1. What are the ethical implications in this situation? 2. What ethical principles are involved? 3. Should the nurse locate the patient and ensure that be is not endangering himself or others by driving? Would this be a breach of confidentiality? Autonomy? 4. How does the nurse express fidelity in this situation?An elderly man presents himself to the ER. He has contractures and paralysis of his left hand and is aphasic. Upon questioning, he removes his left shoe and points to his big toe. The nurse is unable to gather additional information from him because of his difficulty in communicating She asks if someone is accompanying him. He shakes his head. The nurse asks him how he came to the hospital. He shows her a driver's license. Subsequently the nurse leaves the room and returns a few minutes later to find that the patient has left the hospital having received no care. QUESTION: What is the beneficent action?
- The nurse notes that a medication has "actionable pharmacogenetics" documented on the drug label. Which action should the nurse expect to occur before providing this medication?The nurse is reviewing the postoperative prescriptions for a client who has just returned from surgery and notes that the surgeon has prescribed lepirudin. Which is this medication prescribed to prevent?According to your analysis of the case, what factors are contributing to the patient’s presenting signs and symptoms? Should she/he continue her/his current medication regimen? Why or why not? Which medications should be continued and which medications should be eliminated? What treatments or interventions do you anticipate being ordered for this client?
- Patient is a 52 year old Italian American male presenting to a neurologist after being referred by his PCP with the following complaints for the past few months: Minor tremors in his left hand (patient indicated, “at times my hand is shaking and I can’t stop it”), muscle stiffness, not able to move as fast as he used to, having problems with his balance, finding himself writing smaller than usual, acting out dreams, friends are telling him that he is speaking in a more softer and lower voice, and constipation.Mr. Anwari, age 73, is brought to the physician’s office by his daughter, Lucy, who is a licensed practical nurse (LPN). She states her concerns about her father: During the past 2 months he has been found wandering in the neighborhood because he forgets where he lives. Neighbors see him, note that he appears confused, and bring him home. Lucy is worried that her father is showing signs of early Alzheimer’s disease.1. Describe the physical changes that occur in the cortex of the brain.2. Describe the stages of Alzheimer’s disease.3. Describe the physiological and psychological changes that occur during Alzheimer’s dementia.4. What are the functions of the frontal lobe of the cerebral cortex?5. What parts of the limbic system may be affected in Alzheimer’s disease?6. What would be the concerns of the family when a person is diagnosed with this disease?A client is hospitalized for treatment of myasthenic crisis and is concerned about what may have caused this illness. The client's states I just had a little case of the sniffles and a bit of a sore throat and warm! Suddenly I couldn't get out of the bed or do anything. Which response is best for the nurse to provide this client
