1. Tony is a 32 year old man with HIV. His first AIDS defining illnesscaused his weight to drop from

1. Tony is a 32 year old man with HIV. His first AIDS defining illnesscaused his weight to drop from 175 to 116 lbs. due to intractable diarrhea. The physician thought caloric intake was of primary importance and urged Tony to eat whatever he wanted. The physician also prescribed tincture of opium for the diarrhea, but Tony hated the tincture of opium because it made him feel out of control. Because Tony was getting worse, his nurse argued that he needed intravenous nutrition and should eat only bananas, rice, apple sauce and weak tea until the diarrhea stopped. The nurse suggested adding other foods one at a time and only as tolerated. Tony’s family and friends offered to take control of Tony’s food preparation.The physician compared AIDS to advanced cancer and argued he would not prescribed IV nutrition to advanced cancer. The nurse argued that this was Tony’s first AIDS infection and that the prognosis was better than someone with advanced cancer. The nurse primary focus was on stopping the diarrhea and supplementing nutrition with IV’s. Tony’s friends preferred the nurse’s approach, but Tony was not as easily convinced.Guide question:1.How might Florence Nightingale analyse the situation?2.What appear to be the perspective or views represented by the physician and the nurse  ( how might you say they are defining the metaparadigm)?RATIONALE: 2. Mr. Woo, a 50 year old professional man, has pneumonia and is currently being treated with antibiotics. He smokes two packs of cigarettes a day. Since this bout of pneumonia he voices concern about his smoking and his wonders if he should try to quit again. He states “I’ve tried everything and nothing works. The longest I smoke last is about one month.” He admits to being 30lbs. overweight and state that his wife and he have started walking for 30 minutes every evening. His wife has also started making low fat meals. He is concerned that if he quits smoking he will gain more weight. GUIDE QUESTION:Each contact between a nurse and a client is an opportunity for health promotion. Based on the knowledge or key concepts listed above, what questions would you ask to Mr. Woo?RATIONALE: The nurse’s  3. The nurse is examining a patient involved in a car accident. The patient complains of shortness of breath. The tissue of the patient’s face,neck and torso gives a crackling sensation when palpated. The nurse suspects subcutaneous emphysema. GUIDE QUESTION:How can you assess a client suffering from subcutaneous emphysema?RATIONALE:    Health Science Science Nursing NURSING NR708 Share QuestionEmailCopy link Comments (0)

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