Appropriate nursing action would be place the vial in warmer water.
When exposed to low temperatures, solutions of mannitol may crystallize. If crystals are observed, the container should be warmed to redissolve, then cooled to body temperature before administering. Diluted solutions of mannitol are less likely to crystallize, especially if the final concentration is less than 15%.
An administration set with a filter should be used for infusions containing 20% or more of mannitol. At concentrations of 15% or greater, mannitol may crystallize at low temperatures. Mannitol should only be given intravenously and never given intramuscularly or subcutaneously. Mannitol should not be administered with whole blood.
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1. What ethical pressures are present in this scenario?
In this scenario, Sally faces an ethical dilemma because she is caught between two entities that she really values. On the one hand, Sally values her job and the company, and she does not want to cause them unnecessary damage. On the other hand, Sally cares about the community, and she wants people to be safe. Sally appears to find it difficult to reconcile these concerns. Moreover, regardless of her decision, Sally is likely to damage one of the two entities she cares about.
2. If you could advise Sally about how to manage ethics in this situation, what would you say? Explain.
I would say that Sally should contact the newspaper and make the story public. Sally has already contacted the company, and she gave them a chance to rectify their mistakes. However, they decided not to take responsibility for their actions. This is their decision, and it makes them responsible for whatever punishment they receive. Moreover, Sally knows that this practice is illegal, and as a responsible citizen, she has to follow the law.
3. What potential risks does your recommendation pose if Sally were to follow your advice?
Sally could face many risks because of this decision. The company is likely to know that she is responsible for making the story go public. This could cost Sally her job. Depending on the seriousness of the situation, the company might close permanently, leaving many people unemployed, including Sally herself.
Refer the pregnant women to an OB-GYN medical doctor or hospital emergency room
For the nurse to develop a lesson plan that is suitable for the client, the nurse must be aware of the client's educational background.
Social support networks are beneficial to have, however they shouldn't be used when a client can understand.
The client's education is the nurse's responsibility; physician consent is not required. Plans for discharge might be created with the assistance of social support networks.
<h3>Do the diagnosis and the treatment match up?</h3>
The diagnostic procedure serves as both a prelude to and a form of treatment in and of itself. Problems with behavior and physical health can both be helped by diagnosis when it is used as a therapeutic tool.
<h3>How crucial are the diagnosis and treatment?</h3>
Your diagnosis serves as the foundation for all possible treatments, including medication and surgery.
In order to avoid wasting valuable time on the incorrect course of treatment, a precise diagnosis is essential. The right diagnosis can only be made with the assistance of the patient.
<h3>What is the problem's diagnosis?</h3>
It is necessary to formulate and test hypotheses in order to diagnose the issue.
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Answer:
Long-term therapy should involve a low-protein diet and arginine supplementation. This diet helps produce equivalent quantities of ornithine for enhancement of urea cycle activity up to the point of argininosuccinate (ASA) lyase and, thus, enhances waste nitrogen incorporation.
