Laura, a cytotechnology student, is practicing for an exam by reading slides from a study set from five years ago. On one slide of a cervical specimen, Laura believes she sees malignant cells. However, the slide had originally been read as normal by the cytotechnologist who, coincidentally, is now her instructor. She shows the slide to her instructor, who agrees with Laura – the cervical cells indeed show malignancy, and the specimen is not normal as originally read. Laura’s instructor commends her on this “good pick-up.” When Laura asks if they should inform anyone about the error, her instructor says no. He reasons that if they were to point out his past mistake, others might lose their confidence in him and, besides, there would probably be no clinical impact since the specimen was already five years old.

A10-year-old girl suffered from a rare malignancy in her brain and around her spinal cord. she had surgery, and most of the tumor mass was removed, but residual tumor remained in the brain and around the spinal cord. the girl's doctors informed her parents that chemotherapy and radiation were possible treatment options but could cause serious problems such as sepsis, a permanent loss of iq and stature, and even death. the parents wished to proceed with the therapy. while their child was undergoing aggressive chemotherapy and radiation, the parents did independent research and read of several drugs being administered for cancer in other states that were unapproved by the federal drug administration (fda) and were illegal in their home state but were touted by physicians using them as miracle cures." furthermore, one of the girl's doctors released the girl's medical records to another physician to get a "second opinion" without informing the parents. this particular physician is a member of the same country club as the parents. he happens to share facts from the medical records with other members who end up telling the girl's parents. the couple sued their child's physician for failure to disclose alternative treatments, thus depriving them of informed consent. the couples also sued the child's physician for sharing their daughter's records in violation of the girl's privacy. how should the court rule in both cases? did the child's physician involved follow the law? did he act ethically in either situation? explain your answer. under the doctrine of informed consent, should a physician be responsible for informing patients of all treatment options, even if some of the treatments are illegal or not yet proven effective?

An african american young adult is admitted to the emergency department in sickle cell crisis with a report of 10/10 pain. the patient is known to several of the nurses and physicians in the department who have labeled the patient as a “drug seeker”. initial discussion post: identify one (1) intervention that can be taken by the rn to reduce the stigma and improve management of acute and chronic pain associated with sickle cell disease. does the intervention apply only to the patient? does it apply only to the interprofessional team? does it apply to both the patient and the members of the interprofessional team? explain and support your answer.

Anurse is discussing adverse reactions to pain medications in older adult clients with a newly licensed nurse. which of the following findings should the nurse include as risk factors for an adverse drug reaction? (select all that apply.) a. decreased percentage of body fat b. polypharmacy c. multiple health problems d. increased rate of absorption e. decreased renal function