When reviewing and analyzing Case 2 found in Formal Training for Ethical Dilemmas in Global Health

Holly Berkley, MC, USN, Elena Zitzman, MC, USA, Rahul M Jindal, Formal Training for Ethical Dilemmas in Global Health, Military Medicine, Volume 184, Issue 1-2, January-February 2019, Pages 8-10, https://doi.org/10.1093/milmed/usy246

 

While on an educational rotation in the Philippines, a resident physician observed a discrepancy in care as a function of surgeon level-of-training. Due to being short-staffed at a very busy trauma center in one of the world’s most densely populated city, many patients’ surgeries were performed or completed by medical students or junior residents. This poses the question of adequate preparation and supervision of trainees and whether or not that affects patient outcomes. Please analyze the case, Identify the ethical framework and offer potential and acceptable solutions. Make sure to note that the solutions are acceptable for the location of the case and the international community in terms of global health and security.

 

please cite scholarly and primary sources only

A client receives a prescription for atorvastatin. Which laboratory finding indicates to the nurse that the medication was effective?

a. Low density lipoprotein 70mgldl(1.81mmol/l)

b. High density lipoprotein 60mg/dl (1.55 mmol/L)

c. Triglycerides 130mg/dl (1.47mmol/L)

d. cholesterol 190mg/dl (4.92mmol/L)

 

2.A female client who is starting a new prescription for doxycycline hyclate tells the nurse that she takes birth control pills. Which action should the nurse take?

a. advise the client that the birth control pills will be less effective while taking doxycycline.

b. Encourage the client to stop taking birth control pills until she has finished taking all the doxycycline.

c.notify the healthcare provider of the contraindication to tetracyclines.

instruct the client to take the two medications at least two hours apart.

 

3.After receiving the third dose of new oral anticoagulant prescription, an older client develops bleeding and tender gums and has many new bruises. Which action should the nurse implement? Select all that apply

a. provide a PRN NSAID for gum discomfort

b. Review most recent coagulation lab values

C. report findings to health care provider

d. Obtain a soft bristle toothbrush for client

e. The nurse should complete a medication variance report

 

4.The nurse is administering sodium polystyrene sulfonate to a client in acute kidney (AKI) which laboratory finding indicates that the medication has been effective?

1. Serum glucose level of 120mg/dl (6.7mmol/L)
2. Serum potassium level of 3.8mEq/L (3.8mmol/L)
3. Serum ammonia level of 30 microgram/dL (21micromol/L)
4. Hemoglobin level of 13.5 grams/dL (135g/L)

5.The nurse is caring for a client who has a nasogastric tube (NGT) to low suction and interrupts the suction for medication administration. Which prescription can the nurse administer via NGT

a. Bupropion extended-release tablet

b. Nifedipine 90mg capsule

c. Aspirin 81mg enteric coated

d.Aluminum and magnesium hydroxide 30ml

Laws theory or Model

• Select three laws and one theory or model pertaining to informatics, technology use, patient privacy, and data security.
• Based on the selections, describe the role government, private or public employers, and professional ethics have in enforcing patient privacy and data security and the penalties for failure to maintain privacy or security.

Question 88 ARNPs caring for vulnerable populations are responsible for which of the following? t” A Providing
a quick assessment t” 3 Providing housing C Recognizing and responding to the needs of the population in a
time- c sensitive manner I” D All of the above

Nursing Management. What are the best practices you’ve learned from Intraoperative Nursing Management-Basic Instrumentation and Set-Up and Postoperative Nursing Management?