A 64-year-old woman comes to her family physician's office with complaints of lower back pain for the past three months. Her bone mass density (BMD)T-score is -2.5. The physician prescribes a new medication that has agonistic action at estrogen receptor in the bone and antagonist action at estrogenreceptor in the breast and uterine tissues. Which of the following is a potential adverse effect of this medication?Answers A-EA Acneiform rashB Breast cancerC Cardiac arrhythmiaD Endometrial cancerE Hot flashesOO

Medications are an important tool in the management of various health conditions, ranging from acute…

Answered: T-score is -2.5. The physician…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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An older patient has severe osteoporosis and a collapse vertebra. She is in constant pain and receives relief only from taking a narcotic painkiller, four times a day, which is addictive. Answer the following a. Should the physician supply enough medication to provide relief or only enough pills for the patient to take when she is experiencing pain that she absolutely cannot bear? B. Also, what medical and legal requirements will you need to fulfill as a omedical assistant or medical biller?
A 76-year-old patient states, “I have been experiencing com-plications of diabetes.” The nurse needs to direct the patient to gain more information. What is the most appropriate com-ment or question to elicit additional information? a. “Do you take two injections of insulin to decrease thecomplications?” b. “Most physicians recommend diet and exercise to regulateblood sugar.”c. “Most complications of diabetes are related to neuropathy.”d. “What specific complications have you experienced?”
A 47-year-old male comes to the physician with a 3-month history of bone pain. In addition, he has had nausea, constipation, depression, and muscle weakness for the past 2 months. He also notes some bumps on his fingers. His temperature is 37.1°C (98.8°F), pulse is 61/min, respiration is 14/min, and blood pressure is 145/98 mmHg. Physical examination reveals generalized bone tenderness and small hard nodules on his fingers. An x-ray of his hands shows generalized bone thinning and small cystic lesions. Which of the following sets of findings are most likely seen in this patient? Answers A - E A A B B C C D D EE
Scenario: Frank Fellow, a 72-year-old is recently discharged after beingdiagnosed with early onset dementia. He lives in a two-story housewith his wife Amelia. The doctor requested PSW visit twice a week. Thedischarge note reported: moderate-sized red discoloration located onFrank’s inner thigh. Medical history includes hypertension, diabetesmellitus type 2 on insulin injection, rheumatoid arthritis, and GERD.Frank has been doing the insulin injection himself since he wasdiagnosed.You are the PSW assigned for Frank. This is the first initial visit.A. Create a care plan based on 2 identified care needs Assessment Diagnosis Planning Intervention Evaluation
An older patient has severe osteoporosis and a collapsed vertebra. She is in constant pain and receives relief only from taking a narcotic painkiller four times a day, which is addictive. For your initial post, please answer the following 2 questions: Should the physician supply enough medication to provide relief or only enough pills for the patient to take when she is experiencing pain that she absolutely cannot bear? Think this through and formulate questions that might help you decide what stance to take. Which medical and legal requirements will you need to fulfill as a medical assistant or medical biller?
new supplement, "A” has been introduced as a potential intervention to reduce the risk of osteoporotic fractures in postmenopausal women. A randomized controlled trial was conducted to assess the efficacy of “A” compared to a placebo in preventing osteoporotic fractures.In the trial, 800 postmenopausal women were randomly assigned to two groups. Group A received "A”, while Group B received a placebo. After two years of supplementation, the occurrence of osteoporotic fractures was recorded. In Group A, 30 women experienced osteoporotic fractures, while in Group B, 10 women had similar events.1. Calculate the relative risk of experiencing an osteoporotic fracture for postmenopausal women in Group A "A” compared to Group B (placebo). Use the provided data: 30 osteoporotic fractures in Group A and 10 in Group B. 2. Interpret the calculated relative risk & Discuss the implications of this result on the potential effectiveness and safety of "A” in reducing the risk of osteoporotic…
A 63-year-old woman reports for her annual physical examination. She has no major previous medical history but does have a recent history of a broken wrist she sustained after a mild fall. Three years ago her height was recorded at 5'3" and is now recorded at 5'1". She complains that she can't be quite as active as she used to be and that her back is beginning to bother her. This leads her to be outside less frequently. Her physician orders some laboratory testing and diagnoses her with osteoporosis. Analyte 2/20/2018 08:00 Reference Range 135-145 mEg/L 3.5-5.0 mEg/L 95-105 mEg/L 22-28 mEg/L 70-100 mg/dL 7-20 mg/dL 0.5-1.1 mg/dL Na 141 K 4.1 CI 101 CO2 25 Glucose 98 BUN 15 Creat 0.9 BUN/Creat Ratio 17 10-20 8.5-10.5 mg/dL 25-80 ng/mL 10-65 g/mL Calcium 10.4 25-Cholecalciferol 15 ΙPTH 89 Highlight the abnormal results in the above table. List three risk factors this patient has for osteoporosis. What is the most likely cause of her case of osteoporosis? Explain. What are two treatments…
What would be a subjective for this case study A 52-year-old white female has been experiencing bone pain over the past several years after menopause. She states, “The pain is becoming worse, and it is keeping me from doing my daily activities.” She currently complains that any weight-bearing activity causes her severe discomfort. She now reports having “hot spells” at different times throughout the day with some trouble sleeping for the past 3 months. She also complains of some vaginal dryness that she admits is bothersome. She is not taking any medication. She has been using a soy herbal supplement and vitamin E 400 IU daily. She is up to date on all her gynecological exams, and past mammograms have been normal as have her health maintenance exams. She does not smoke or use alcohol. Her system reviews are unremarkable excluding today’s complaint. She lives alone in a one-story house and works at a car plant. She has three children and one grandchild. Her daughter lives in close…
Ms. M is 42 years old and has had rheumatoid arthritis for six years. At baseline, her fingers are stiff and show slight ulnar deviation. She has come to see you as she is currently experiencing an exacerbation, and her wrists are red and swollen. She finds it to be painful when something such as clothing touches the skin over her wrists. Her elbows and knees are also stiff and painful, especially after she has been resting. She is feeling extremely tired and depressed and has not been eating well. Describe the pathophysiologic process that leads to the appearance and the pain occurring at her wrists. Is this an acute or chronic process? Could it be both? Describe the pathophysiology contributing to the stiff, deformed fingers. What terms can be used to describe this?
Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. Name the three types of healthcare agencies he has used. What are the strengths of each of these?
Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. How can you relate this scenario to the national or global health situation? 2. Name the three types of healthcare agencies he…
Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. What are the services being needed by Mr. X? What other members of the health care profession would most likely be on the team…

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