Explanation:
As a member of the hospital's interprofessional medical ethics review committee, the adult-gerontology primary care nurse practitioner's role is to evaluate ethical dilemmas that may arise in patient care. The nurse practitioner works collaboratively with other healthcare professionals to identify and evaluate ethical issues, review relevant policies and regulations, and make recommendations for appropriate action. This may involve evaluating standards of care, assessing the risks and benefits of different treatment options, and considering the potential outcomes of various courses of action. The goal of the committee is to ensure that ethical principles are upheld and that patient care is provided in a manner that is consistent with the highest standards of professionalism and integrity.
Explanation:
Perceived severity refers to the individual's perception of the seriousness of the health condition or outcome, and how much harm it could cause. While the patient in this scenario may also underestimate the severity of a potential car accident, their primary issue is the perceived susceptibility to such an event.
Explanation:
The findings described are consistent with normal development in the 15-year-old female patient. The patient's rapid growth, breast development, and pubic hair growth are signs of normal puberty progression. The fact that the patient has not yet reached menarche (the onset of menstruation) is not uncommon at this age and can occur up to age 16.
It is important to continue monitoring the patient's development and discussing any concerns with a healthcare provider. Regular annual check-ups are an important part of ensuring overall health and development in adolescents.
Explanation:
African American families may look primarily to the wife/mother for guidance and support in maintaining good health and making healthcare decisions, others may have different patterns of decision-making and rely on different family members for support. It is important for healthcare providers to approach each patient and family with cultural humility, actively listen to their needs and preferences, and work collaboratively to develop a plan of care that is appropriate and effective for the individual patient.
Explanation:
The third factor that puts the patient at risk for eczema is having asthma or other allergic conditions. Eczema, also known as atopic dermatitis, is a chronic inflammatory skin condition that often occurs in people who have a genetic predisposition to allergic diseases such as asthma and allergic rhinitis. In fact, having a family history of eczema, asthma, or hay fever is one of the strongest risk factors for developing eczema. Allergic conditions are closely related and often occur together, which is known as the atopic march. Therefore, it is not uncommon for someone with eczema to also have asthma or hay fever, and vice versa.
Explanation:
The official diagnosis, based on the symptoms, findings, and laboratory results provided, is pneumococcal pneumonia, which is caused by the bacteria Streptococcus pneumoniae. Streptococcus pneumoniae is a common cause of bacterial pneumonia in adults and can present with symptoms such as high fever, chills, productive cough, chest pain, shortness of breath, and rust-colored sputum. Radiologic evidence of pulmonary consolidation, elevated white blood cell count with a left shift, and the presence of Gram-positive diplococci on Gram stain of the sputum support the diagnosis of pneumococcal pneumonia. Early and appropriate antibiotic therapy is usually necessary to treat the infection and prevent complications.
Explanation:
When treating an older adult patient for gastroparesis, the drug that an adult-gerontology primary care nurse practitioner may prescribe cautiously because of possible central nervous system toxicity is metoclopramide (Reglan). Metoclopramide is a medication that works by increasing the motility of the upper gastrointestinal tract and is commonly used to treat gastroparesis. However, it is associated with a risk of neurological side effects, such as restlessness, agitation, and extrapyramidal symptoms, especially in older adults. Therefore, the drug should be used with caution in this population, and the dosage should be adjusted carefully. In addition, treatment with metoclopramide should be limited to the shortest duration possible to minimize the risk of adverse effects. Alternative treatments may be considered in older adults with gastroparesis, depending on the underlying cause and comorbidities.
