the GTPAL system, how would the nurse document the client’s obstetric history? Question 24 options: a)  G3-T0-P1-A1-L1 b)  G3-T1-P0-A2-L1 c)  G2-T1-P1-A0-L1 d)

M. J. is a 76-year-old woman who lives on the side of a very steep mountain. The home health nurse has visited her once a week for the last year. She has running water, electricity, and a coal stove with back-up oil heat for very cold winter nights. She uses the telephone for communication. She has diabetes mellitus, hypertension, hypothyroidism, and is in atrial fibrillation. She has never been in the hospital before. Her current medications include metformin (250 mg twice a day), losartan (50 mg/day), levothyroxine sodium (Synthroid) (50 mcg/day), digoxin (0.125 mg/day), furosemide (Lasix) (10 mg/day), aspirin (81 mg/day), simvastatin (20 mg/day), and warfarin (Coumadin) (4 mg/day, with 6 mg on Sundays). Allergies are to penicillin (hives) and to metoprolol (hypotension and dizziness). M. J. stopped smoking 5 years ago, but until then she smoked one-half pack a day. Last laboratory test results (1 week ago) were: hemoglobin A1C (Hgb A1C) 8.3, international normalized ratio (INR) 1.7,…

Mrs. Ortex has been admitted to your surgical center for a breast biopsy under local anesthesia. This is the second beast biopsy for her, having had the first one 12 months prior to today. She is accompanied by her husband of 14 years. They have three children, ages 2, 8, and 10. Both appear relaxed, joke with you as you admit her, and seem not be overly worried about the results of the upcoming biopsy.  The surgeon has previously informed the patient of the procedure, risks, alternatives, desired outcomes, and possible complications. You give the surgery permit form to the patient for her signature. She readily states that she knows about the procedure and has no additional questions; she signs the form with no hesitation. Her husband now acknowledges that he is worried about the procedure itself and that something could be said during the procedure to alarm his wife.  What do you do at this point? Do you alert the surgeon that informed consent has not been obtained? Do you request…

A 15-year-old girl is brought to the physician by her mother because of abdominal pain. Findings on physical examination shows the patient is pregnant and she tells you not to tell her mother. Which of the following is the most appropriate response? A) "I really ought to tell her, but I will only do so if you give me permission. B) "I will tell your mother in the next room. Then we can all speak together." C) "It would be best if your mother knew. I can help you tell her." D) "Since you are a minor, I have to tell your mother." E) "You will not be able to hide the fact that you are pregnant much longer."