Which two Acts set legislative guidelines about how information should be collected, disclosed, used and stored and what do these Acts cover?

d) Do citizens have obligations toward health-care professionals who put themselves at risk to treat them during outbreaks of highly hazardous communicable diseases? If so, what are these obligations, and what are their limits? If not, why not? Provide justification for your reasoning and apply at least one ethical principle from the course to support your point. Describe the principle(s) as well as the answer that it would lead to in this case.

Description

Mr. Bryan is a 29-year-old married man who came to the medical office because, over the last three years, he has progressively increased the size of his shoes, and he has resized his wedding ring three times. He says his feet and hands have grown. He has also noticed that his face has turned coarse. He was a very active man and practiced sports, but now he fatigues just by walking, and feels weakness in his muscles and stiffness in his joints. He is depressed because in the last few months he has been experiencing erectile dysfunction, which is affecting his relationship with his wife. He feels he is losing his vision as well.

Mr. Bryan does not drink alcohol, smoke, or use any recreational drug. His mother suffers from diabetes mellitus type II, and his father suffers from hypertension.

On physical examination we found:

Remarkable Signs

• Head: Enlarged and coarsened facial features, prominent superciliary arches, prognathism
• Neck: Thyroid is visible and palpable
• Thorax: Barrel appearance
• Abdomen: Hepatomegaly. Splenomegaly.
• SOMA: Enlargement of the hands and feet. Generalized arthralgia.

Remarkable Signs

• Integumentary system: Thick and oily skin. Numerous acrochordon disseminated throughout the body.
• Cardiovascular system: Blood pressure 150/100. Radial pulse 72.
• Digestive system: Megaloglossia. Diastema.

provided, respond to the following questions:

1. The patient refers to muscle weakness. Mention some common muscular diseases, and explain them briefly, including their prognoses.
2. Is Mr. Bryan at risk of suffering from diabetes mellitus? Why? How many types of diabetes mellitus are there? What are the differences between them?

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CASE STUDY 2:

Sammy is a newborn boy at 32 hours of life. His birth weight was 8 pounds. He was born via normal spontaneous vaginal birth at 40 weeks of gestation to a 26-year-old G1. There were no maternal prenatal issues. Labor and delivery were complicated by a prolonged second stage of labor, which eventually progressed to spontaneous birth. The Apgar scores were 6 and 8, and the infant was taken to the nursery for an observation period; he received IV fluids but did well and so was discharged to routine care in the mother’s room at 12 hours of life. Sammy was noted to have facial bruising and a cephalhematoma, which were attributed to the prolonged second stage of labor. All newborn blood work was normal. The group B strep culture was negative. Maternal blood type is A positive. Exclusive breastfeeding was initiated at 12 hours of life. On physical examination, Sammy has some jaundice evident on the chest and torso.

1. What risk factors does Sammy have for hyperbilirubinemia?

2. The pediatrician orders a bilirubin level, and the total serum bilirubin level is 7 mg/dL. A repeat level is ordered in 8 hours. Does this result indicate a dangerous level of hyperbilirubinemia?

3. What are the risks to the newborn with elevated bilirubin levels?

4. Sammy’s repeat total serum bilirubin was 5 mg/dL at 40 hours of life, and the pediatrician has given discharge orders for this evening when Sammy will be 48 hours old. What education is appropriate for Sammy’s parents at this time regarding jaundice?

NO PHOTOS PLEASE

In the Musculoskeletal System and Connective Tissue chapter of ICD-10-CM, what is the difference between a pathological fracture and a traumatic fracture? Give an example of a scenario for coding a pathological fracture. Along with your example, provide the ICD-10-CM code(s) that would be assigned for the scenario. Be sure to follow coding guidelines and instructional notes, and assign the appropriate 7th character if needed.

Create a discharge instructions sheet for a patient who is s/p TURP, include medications

Q5:Discuss the types of molar pregnancy, signs and treatment. (medical, surgical and nursing) ?

Q6:Discuss the changes and management during menopause ?

Q7:Discuss the nursing management of a patient with bleeding and placenta previa ?

Q8:Briefly discuss the role of progesterone in pregnancy ?

Q1:Discuss the physical changes and psychological changes during preganancy ?

Q2:Discuss the tests done for prenatal genetic screening ?

Q3:Describe NST test and its interpretation ?

Q4:Discuss the clinical features and management of ectopic pregnancy ( medical, surgical and nursing) ?

Q5:Discuss the hormonal changes in the uterine cycle and ovarian cycle ?

Q6:Mention the diagnostic and screening tests for women's health ?

Q7:Discuss the roles of a nurse specific to maternal nursing ?

A patient is supplementing their potassium intake by taking 75 mL of a 3.5% (w/v) potassium bicarbonate solution daily. How many milliequivalents of potassium ion is the patient consuming daily?

KHCO3 MW 100

K+ MW 39

HCO3- MW 61

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Compare and contrast the cell wall found in E. coli and in S. aureus.

What are 4 factors which contribute to the emergence & re-emergence of microbial mediated diseases? [8 marks]. Describe briefly how each of these factors influences the emergence & re-emergence of microbial mediated diseases. [4 X 3= 12 marks]

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