By Gina M. Ankner, Patricia M. Ahlschlager, Tammy J. Hale
Bridge the distance among wisdom and scientific program with DELMAR'S CASE stories sequence: MEDICAL-SURGICAL NURSING 2d version. This number of twenty-two special and provocative real-life situations emphasizes holistic nursing care because it is helping sharpen severe considering talents and strengthens medical competence. each case comprises an introductory "blueprint" of variables that has to be thought of whereas comparing a specific scenario--pertinent info about the consumer, nursing protocol, and atmosphere of care. each one blueprint and case is assorted, simply as each one medical scenario is exclusive. As you simulate the particular decision-making technique, you are going to achieve worthy adventure making expert medical judgments. The accompanying solutions and rationales for every case supply perception into very good nursing perform and will be used for remediation and dialogue.
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Additional resources for Delmar's Case Study Series: Medical-Surgical Nursing, 2nd Edition
I do not want my wife or anyone else to know. If she begins to show signs of not feeling well, then I will tell her. I just can’t tell anyone. ” Questions 1. Briefly discuss how HIV is transmitted and how it is not. How can Mr. Thomas prevent the transmission of HIV to his wife and others? 2. Mr. ” How can the nurse explain the difference between being HIV positive and having AIDS? 3. Discuss the ethical dilemmas inherent in this case. 4. Does the health care provider have a legal obligation to tell anyone other than Mr.
How could the nurse explain what cholesterol is and why it increases the risk of heart disease and stroke? 10. Identify Mrs. Giammo’s predisposing risk factors for a TIA and possible stroke. Which factors can she change and which factors are beyond her control? 11. Mrs. Giammo takes atenolol at home. What is the most likely reason why she has been prescribed this medication? 12. The nurse hears a carotid bruit on physical assessment. What is a bruit and why is this of concern to the nurse? What would be likely diagnostic procedures ordered by the health care provider because of this assessment finding?
Mrs. Giammo’s cholesterol lab work reveals total cholesterol 5 242 mg/dL, low-density lipoprotein (LDL) 5 165 mg/dL, high-density lipoprotein (HDL) 5 30 mg/dL. Discuss the normal values of each and which of her results are of concern and why. CASE STUDY 2 ■ MR S . GI AM M O Questions (continued) 9. When told that her cholesterol levels are elevated, Mrs. Giammo asks, “I always see commercials on television saying you should lower your cholesterol. ” How could the nurse explain what cholesterol is and why it increases the risk of heart disease and stroke?