Author Question: A 56-year-old patient, who has recently become postmenopausal, made an appointment with her health ... (Read 79 times)

burton19126 · **on:** Jul 22, 2018

A 56-year-old patient, who has recently become postmenopausal, made an appointment with her health care provider for symptoms of an UTI. The patient has had three previously diagnosed UTIs in the past 4 months.

She asks the nurse if this is a normal occurrence with postmenopausal women. What is the best response from the nurse? a. Yes, because as women go through menopause, the lining of the urethra becomes more susceptible to infections.
b. No, but why don't you ask your health care provider for some antibiotics to keep on hand?
c. Yes, and this must be frustrating because as we become older our body starts to cause us more problems.
d. Yes, and this is why I'm not looking forward to going through menopause.

Question 2

A 45-year-old mother of two children has cirrhosis of the liver and is on a waiting list for a liver transplant. She had to meet certain criteria to be eligible to receive a liver.

She understands that she is next on the list for a donor liver that matches. This is an example of which ethical principle? a. Autonomy
b. Justice
c. Fidelity
d. Nonmaleficence

kswal303 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
There is a decrease in estrogenization of perineal tissue in women that increases the risk of urinary tract infection. The vaginal tissue of postmenopausal women may be dryer and less pink than in younger women. Health care providers would not give antibiotics to keep on hand. Nurses should not imply that a UTI is an expected problem of aging. Relaying what the nurse thinks about aging is not appropriate to voice to the patient.

Answer to Question 2

B
Justice refers to the principle of fairness. In health care, the term is used to reflect a commitment to fair treatment and fair distribution of health care resources. You may find reference to this principle during discussion about issues of access to care. It is not always clear just how to achieve a fair distribution of resources. Autonomy refers to independence and self-determination. Fidelity refers to the agreement to keep promises and is based on the virtue of caring. Nonmaleficence refers to the fundamental agreement to do no harm.