Please answer ONE of the following DQ’s. Please provide the questions that is being answered as the heading. Incomplete answers will be marked as “0.”
Chapter 25
A 16-year-old involved in a motor vehicle accident is brought via ambulance to the emergency room you work at. She needs an emergency blood transfusion. Her mother, a devout Jehovah’s Witness, refuses to give permission for her daughter to receive blood products because it goes against her faith.
a. As a culturally and religiously sensitive nurse, how might you explain to this mother why her daughter needs blood?
b. What are the ethical issues raised by the mother refusing blood products for her daughter?
c. If the mother continued to refuse to allow her daughter to receive blood products, as a provider, what would you do?
Chapter 27
A patient with chronic bronchitis is brought into the emergency room with complaints of sudden-onset chest pain, shortness of breath, and coughing up blood. His lab work shows hypoxemia, respiratory acidosis, and elevated red blood cell (RBC) count, white blood cell count, hemoglobin, and hematocrit.
a. Utilizing your understanding of the process of erythropoiesis, why do you think this patient has elevated RBCs, hemoglobin, and hematocrit?
b. What is the most likely cause of the patient’s acute symptoms? How do you explain this?
Chapter 28
You are meeting with a newly diagnosed 8-year-old acute lymphocytic leukemia (ALL) patient and his family to answer their questions about his illness and plan for treatment. They had sought medical treatment because the boy had experienced unusual fatigue, repeated infections, and unexplained bruising over the past few months.
a. The patient and his family want to know why he has problems with bruising and infections when their understanding is that leukemia is a problem with too many white blood cells. How would you answer their question using lay language?
b. The parents are very afraid of the chemotherapy regimen that is being planned, stating that their 40-year-old cousin died of ALL despite receiving powerful chemotherapy drugs that
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