1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The hospice nurse updated the patient’s medical power of attorney who was distressed at the report. The patient’s wishes were to die peacefully and to not have to undergo an amputation of her right foot. But if the patient receives the blood transfusion, she may live long enough to need the amputation. The patient’s physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient’s medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. 

1. What ethical dilemma exists?
2. Who are the stakeholders and what gains or losses do each have?
3. What strategies should the hospice nurse take to resolve the ethical dilemma?

2. The nurse receives a 12-year-old girl from the operating room after an emergent appendectomy due to ruptured appendix. Upon arrival to the postanesthesia care unit, the patient is drowsy, but arousable to voice; she was extubated in the operating room and is receiving oxygen by facemask at 40%. She has two peripheral IVs in her left arm that are infusing Lactated Ringers solution at 100 mL/hr. A nasogastric tube is attached to low constant suction, and a small amount of aspirate is noted. She has a urinary catheter that is draining clear, yellow urine. Her abdominal dressing is dry and intact. Upon arousal, she complains of abdominal pain.  

1. What NANDA-approved nursing diagnoses may be relevant to this patient?
2. Once the nursing diagnoses are determined, what steps does the nurse take to complete the Planning Phase of the Nursing Process?
3. What is the difference between nursing diagnoses and collaborative problems?

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Read the story and answer the 6 questions below it.

Attached File below with Story and Questions to answer.

Two pages 

Double spaced

12 Font Times New Roman

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Two-page double-spaced 

Identify 2 – 3 possible solutions for the issue and/or problem.

 Compare and contrast the pros and cons for each solution.

Choose one solution you believe is the best one for addressing/solving the issue and or problem. 

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This is the final project and it is based on the midterm proposal I did it few months ago. I attached the instructions. I want you to do part one only. I only attached the midterm I did . so that you can continue on the same issues. You can do one issue out of the two. Choose whichever you think you can write better about. 2 pages. deadline is 12 p.m Tuesday . I have also attached some documents about arguments that can help you write. Thank you

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Paper should be 2 Pages. 

Please include references.

Make sure to answer the questions.

Please follow the format instructions.

Below I have attached the Story & Questions. 

Also is a file on how the format should look.

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