Hi! This has two parts.
1st part: Please answer the following questions using APA 7th edition.
1. Patient A:
– Discuss the pharmacological management of nausea, vomiting, and pain in patients
with advanced metastatic non-small cell lung carcinoma, considering the medications
administered to Patient A.
– Explain the mechanism of action and potential side effects of Morphine Sulfate,
Metoclopramide, and Ondansetron in managing the symptoms experienced by Patient
2. Patient B:
– Describe the surgical procedure of transverse colostomy and its indications in patients
with colorectal cancer and colorectal resection. What are the nursing considerations
for postoperative care and stoma management?
– Discuss the rationale for administering medications such as Ondansetron,
Naloxone, Lorazepam, and Morphine in the management of postoperative pain and
nausea in Patient B.
3. Patient C:
– Explain the significance of hip fractures in elderly patients like Patient C and the
potential complications associated with hemiarthroplasty surgery.
– Discuss the nursing interventions for preventing postoperative complications such as
infection and venous thromboembolism in patients undergoing hip fracture repair
Part 2: Case Study: Make sure to make this detailed,well thought out, and organized. Must have detailed answers!!!
1. Mrs. Perez, 32 years of age, is a Hispanic patient who is admitted for early stage cancer of the uterus. The surgeon stated that in order to treat Mrs. Perez’s cancer successfully, the uterus will need to be removed surgically through a procedure called a simple hysterectomy leaving the ovaries, fallopian tubes, and vagina. The surgeon requests that the nurse make arrangements for an interpreter, so they can both use the interpreter’s services. The patient only speaks Spanish, but her mother and one of the patient’s sisters are bilingual. They are currently visiting the patient. Her husband is also visiting and he only speaks Spanish. The patient’s two children are with her sister Maria. The family stated that they are devout Catholics and requested to see a priest while in the hospital. Today is Ash Wednesday.
a. Which interpreter is the most appropriate choice to communicate with Mrs. Perez and why?
b. After critically analyzing the cultural influences, what nursing actions are appropriate for the patient?
2. The nurse manager of an ambulatory care clinic has noted an increased number of visits by patients from different countries and cultures, including patients from Mexico and other Latin American countries. Concerned about meeting the needs of this culturally diverse population, the nurse manager convenes a staff meeting to discuss this change in patient demographics, and to query the staff about any learning needs they have related to the care of these patients.
a. What strategy to avoid stereotyping clients from other cultures should the nurse include in this meeting?
b. Identify culturally sensitive issues to be discussed in the staff meeting.
c. One technician on the staff complains that some patients never make eye contact, and this makes it difficult for him to complete his work. How should the nurse respond?
