Your client, a 37-year-old G5P5, is being seen for a complaint of urinary incontinence with activity. The provider completes the exam and diagnoses her with "stress incontinence secondary to natural changes following multiple childbirths." The provider has asked you to educate the client about the diagnosis and to discuss the treatment and management of incontinence. (Learning Objectives 2 and 4)

1. What factors are related to this cause of stress incontinence?
2. What treatment options are available?
3. What psychosocial concerns would you discuss with the client?

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?

Describe the effects and potential risks associated with pica. include lead poisoning in the discussion.

Anurse is providing teaching to a client who has a gastric ulcer and a new prescription for ranitidine. which of the following statements by the client indicates an understanding of the teaching? a. “i can take two aspirin to treat headaches.” b. “i should avoid dairy products when taking this medication.” c. “i can expect fine hand tremors when taking this medication.” d. “i should not take an antacid within 1 hour of taking this medication.”