Discuss and compare the three types of cerebral hematomas
a. What are three types are and their symptoms?
b. When is surgery necessary?
c. Who are at risks for hematomas?
Students' answers should include the following:
a. Epidermal, subdural, and intracerebral are the types.
Epidermal is arterial bleeding in the meninges above the dura; rapid and progressive neurologic deterioration.
Subdural is bleeding in the space below the dura; can be acute, chronic, or subacute.
Subdural becomes symptomatic is acute within first 24 hours; subacute and chronic within 24 hours to a week later
Intracerebral from an open or closed head injury or a ruptured aneurysm
b. Depending on location, surgical intervention is usually necessary.
Craniotomy or burr holes to relieve pressure
c. Those on anticoagulant therapy.
Those with bleeding disorders such as hemophilia, thrombocytopenia, leukemia, or aplastic anemia.
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After the patient's test results are in, the physician orders Lantus insulin 20 units each a.m. for this woman. What does this tell you about this patient?
a. her blood sugars have been elevated for quite some time b. she has Type II diabetes c. she is in the beginning stages of renal failure d. none of the above
Web-based instruction (WBI) uses the attributes and resources of the Internet to deliver and support education. Which of the following ways may effectively be used to teach health care content via WBI? Select all that apply
1. Teleconferencing mode 2. Stand-alone course 3. Supplement traditional, face-to-face courses 4. Wiki mode 5. Connectivity with hospital information systems
The patient decides to discontinue standard medical treatment for diabetes mellitus and to rely on diet and herbal medications for blood sugar control. Which statements, made by the nurse, are appropriate?
Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "You are an adult and can do anything you want to do." 2. "We need to talk about how medications work to control diabetes mellitus." 3. "Tell me more about why you decided to make this change." 4. "Don't you know that you are gambling with your health?" 5. "I think that would be a mistake."
Which situation is the most likely to lead to a breach of confidentiality?
a. A qualitative researcher conducting interviews b. An English speaking researcher using non–English-speaking subjects c. An inexperienced researcher analyzing secondary data d. Researchers who went through an expedited IRB review