What scope of practice issues can you identify?   Is this act different from injecting medication into an IV line, and if so, how?   What do you think that Bret should do in this situation?

A 65-year-old male is recovering from subtotal colectomy. You inform him that it is time to get out of bed to the chair. What nursing interventions should you perform prior to moving the patient from the bed to chair?

A 10-year-old child with an autoimmune disease presents to the healthcare clinic with muscle spasms and loss of appetite. The healthcare provider notes that the child has positive Chvostek sign and diagnoses the patient with hypoparathyroidism. a. What is Chvostek sign and how do you assess it? b. What nursing interventions are most important to implement for this patient? c. What immediate and long-term treatment would this patient require?

Jorge is the clinical medical assistant for a plastic surgeon who performs many in-office procedures. Part of his job is to provide pre- and post- operative patient education. a) How does patient education influence patient recovery from surgery? b) What should Jorge's first step be when delivering patient education? c) How can he check to ensure that a patient has understood his instructions? d) What actions can he take when communication with patients in pain?

Mr. Garcia is a -68-year-old patient who was diagnosed with COPD 5 years ago and has been successfully treated by Dr. Green ever since. This morning, Mr. Garcia is scheduled for a spirometry test followed by an evaluation by the Dr. Oliver, a certified medical assistant, who will be in charge of Mr. Garcia. Due to the office being busy, Mr. Garcia is left waiting 30 more minutes than expected. Oliver finally calls him over and directs him to the examination room. As Mr. Garcia sits down, he lets out a heavy sigh. As Oliver enters the patient information in the computer, he stated, “Alright Mr. G., let’s do the spirometry test first. I see you are familiar with how it goes.” To which Mr. Garcia aggressively responded, “Why must I keep taking this test? This is the 5th time Dr. Green has ordered the test, I even quit smoking 4 years ago, why do I have to keep coming back and sitting through long waits just to have the same exact test performed?” Questions : Explain what a spirometry is…

A nurse is caring for an 80-year-old female patient who isliving in a long-term care facility. To help this patient adapt toher present circumstances, the nurse is using reminiscence astherapy. Which question would encourage reminiscence?a. “Tell me about how you celebrated Christmas when youwere young.”b. “Tell me how you plan to spend your time this weekend.”c. “Did you enjoy the choral group that performed hereyesterday?d. “Why don’t you want to talk about your feelings?”

You are . . . a Certified Medical Assistant working with Susan Lee, MD, a primary care physician at Fulwood Medical Center. Your patient is . . . Mrs. Sandra Jacobs, a 46-year-old mother of four. Your task is to document her care. Documentation Mrs. Sandra Jacobs, a 46-year-old mother of four, presents in Dr. Susan Lee’s primary care clinic with episodes of crampy pain in her right upper quadrant associated with nausea and vomiting. The pain often occurs after eating fast food. She has not noticed a fever or jaundice. Physical examination reveals an obese white woman with a positive Murphy sign. Her BP is 170/90. A provisional diagnosis of gallstones has been made. She has been referred for an ultrasound examination, and an appointment has been made to see Dr. Stewart Walsh in the Surgery Department. I explained to her the etiology of her gallstones and the need for surgical removal of the stones, and I discussed with her a low-fat, 1500-calorie diet sheet. Luisa Guitterez, CMA.…

George Tomlin, RMA, has been working for several years in a specialty practice. He applies for a position closer to his home with better hours and more pay. This office, however, sees patients with a variety of illnesses. For the first time since he graduated from college, he is encountering words and procedures with which he is not familiar. What is the best way for George to review his basic medical terminology? What should George do when he encounters a new word? What are some good ways for him to learn the new vocabulary for his new position?"

Your 30-year old patient reports having several recent experiences of unprotected sex and reports genital itching and discharge.  What condition(s) might you suspect? What are risk factors for this condition? What further assessment should be performed? What patient education would you provide if your suspected diagnosis is confirmed?

What is the significance of the patient financial responsibility agreement prior to a diagnosis procedure?