Read each case vignette and answer the questions. Make sure to properly cite your responses and provide references, following APA 7th ed. guidelines.
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?
