MSN5031 Differential Diagnosis and Collaborative Management in Acute Care

Quiz 4

Instructions: Read each case vignette and answer the questions. Make sure to properly cite

your responses and provide references, following APA 7th ed. guidelines.

Chapter 9: Nuclear Medicine Studies

A 50-year-old patient has to have hepatobiliary (gallbladder, biliary) imaging with

cholecystokinin completed. The patient needs to have patient education because of numerous

questions and concerns about the upcoming nuclear medicine study. The patient is worried about

being radioactive following the procedure.

1. What are the indications for the hepatobiliary (gallbladder, biliary) imaging with

cholecystokinin?

2. What should the healthcare provider review with the patient about the procedure?

3. The healthcare provider is reviewing the required patient care interventions with a student

nurse who is observing the procedure. What are the key nursing interventions for the

procedure?

Chapter 11: Cytologic, Histologic, and Genetic Studies

A female patient has breast cancer, and treatment is being considered. A breast biopsy is being

performed for ERA/PRA studies. The patient has several questions for the healthcare provider

about the explanations the oncologist gave the patient about these studies.

1. The patient has read that, in some women, the frequency of positive ER and PR is higher.

In which women should the healthcare provider tell the patient that these values are

higher?

2. Which type of tumors rarely respond to antiestrogen therapy?

3. After the biopsy, the patient’s results showed an ER-positive tumor and a PR-negative

tumor. How would these results be interpreted?

Chapter 14: Pulmonary Function, Arterial Blood Gases, and Electrolyte Tests

A patient has had a food virus for about 24 hours and has become very dehydrated. The patient

goes to the local hospital. The patient has blood work done and an intravenous line started to get

fluids for the dehydration.

1. As part of the blood work for this patient, arterial blood gases were drawn. Due to the

severe vomiting and dehydration, the results were abnormal. Which acid–base imbalance

would most likely occur in this patient?

2. The patient had serum electrolytes drawn. Will the potassium, chloride, and phosphate

electrolytes be normal? Why or why not?

3. What electrocardiogram abnormalities are likely to be present with this patient?

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