Chapter 85 Answer

Since I have the knowledge that the AIDs patient is depressed because of stress and many thoughts about his life, I would talk to him to help him handle the situation. First, I would encourage him that there is life after HIV/AIDS infection so long as he takes his medicines accurately. I would also ask him to join any existing support groups that will encourage him by sharing and listening to stories from other group members. I would also ask him to seek depression treatment, either medicines or therapy. Finally, I will talk to him about the importance of living for his family who really supports him and would be frustrated if he committed suicide. I would finally teach him how important he is by showing him love and care. This would help him value himself more and want to live. Some lifestyle habits I would recommend to him include counseling sessions, exercises, better sleeping habits and exposure to the sun by getting involved in outdoor activities (Rosdhal and Kowalski, 2008).

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Chapter 89 Answer

Most nutritious food especially those high in oxalate, although healthy are likely to cause renal calculi when taken in huge amounts. Such food includes spinach, sweet potatoes, okra, beets, cocoa powder, French fries, raspberries, grits, stevia sweeteners, wheat and bran cereals, rhubarb, miso soup, cashews nuts, and almonds. Eating a lot of salt is another possible cause. Too much of vitamin can cause oxalate. Taking huge amounts of animal proteins like eggs, cheese, fish, pork, and beef can also produce oxalate causing the development of kidney stone.

Clients who are not at the chronic level of kidney failure might need dialysis when they are affected by certain health problems causing them confusion and agitation. Some of those health problems may be observed in medical situations like hypertension, disturbances of electrolyte, toxicity caused by aluminum, hypoglycemia and dialysis dementia. Dialysis is most needed when the renal functioning is below 10%.

Chapter 90 Answer

TURP procedure is involved with some of the following risks and complications that arise after the surgery. They include excessive bleeding, regrowth of prostate, erectile dysfunction or impotence, UTIs and other chronic urinary infections, urine stream split, negative reaction to anesthesia, prostate inflammation and retrograde ejaculation. Some of three-way bladder irrigation complications include the formation of a clot, catheter blockage, discomfort caused by catheter blockage which could lead to diaphrenic among other problems and urinary tract infections. Irrigation can be stopped when; the patient attains comfort, the catheter is patent and urine can flow freely, it is minimal or no clot formation and the patient's risk of UTIs is low. A teaching plan for family and client: the patient should drink plenty of water, eat a healthy balanced diet, avoid sexual intercourse for 1 to 2 months, minimize over the counter drugs, avoid heavy work, keep off stimulants and keep off activities that strain lower abdomen.

Possible causes of scrotal edema include hernia, hydrocele, inguinal hernia, epididymitis, orchitis and varicocele among others. Treatment for hernia and it's inguinal are lifestyle changes, surgery or medication. For hydrocele, surgery is required if it does not go away on its own or grows large. Epididymitis is treated by taking doxycycline and ciprofloxacin, OTC pain medication, bed rest and anti-inflammatory drugs. Orchitis is also treated with antibiotics. Varicocele is not important to treat since it goes away on its own.

Chapter 91 Answer

To prevent recurrent vaginal infections, I would ask the patient to put on cotton underwears, wipe from front to back while visiting toilets, wear loose pants and jeans, keep the vagina clean and dry, avoid douching, perfumed tampons and spraying the vagina, reduce stress and eat plain yogurt.

To determine whether my client has endometriosis, I would recommend testing and if she has them, she should seek treatment. To test for endometriosis, the doctor will perform minor surgery on the lower abdomen. The surgery is called a laparoscopy. The doctor can also opt to do an ultra-scan or MRI on the lower abdomen to determine whether the patient has endometriosis. It is treated with either surgery or medicine. In the acute level, only pain relievers are used. Surgery is then recommended in worse cases. In her case, surgery would be fitting.

Reference

Rosdahl, C. B., & Kowalski, M. T. (2008). Textbook of Basic Nursing. Philadelphia, PA: Lippincott Williams & Wilkins.