Question:Discussion Topics

Learning Objective(s)

1. James is 10 years old and has been brought to the clinic by his mother. James complains of severe perianal itching, which began while he was at camp. James is diagnosed with pinworms. His mother is concerned because he is scheduled to leave in the morning to spend a week at his grandmother's house.

a. What patient/family teaching is needed for James and his mother to prevent reinfection?
b. Which medication would you recommend in this situation: mebendazole or pyrantel? Defend your answer.

2. You are scheduled to give a talk to the staff at a long-term care facility about common worms that cause disease in humans.

a. Explain the most common types of roundworms and flatworms that infect humans.
b. What measures can the staff at the long-term care facility implement to prevent infection and cross-contamination?

Learning Objective(s)

1. James, a 3-year-old, has been diagnosed with acute lymphoblastic leukemia and will begin receiving chemotherapy with the mitotic inhibitor teniposide (Vumon) and the alkylating agent cyclophosphamide (Cytoxan) in the morning.
a. Explain how mitotic inhibitors and alkylating agents prevent or inhibit the growth of cancer cells.
b. What special considerations are needed for a child James' age who will receive chemotherapy?

2. Ms. Smith will be receiving chemotherapy for advanced breast cancer. She is 75 years old and resides in a long-term care facility. Her treatment plan will include the use of the hormone goserelin (Zoladex) and capecitabine (Xeloda), which is an antimetabolite.
a. What special monitoring might Ms. Smith require during her treatment?
b. What adjustments to Ms. Smith's living arrangements might be required?

Discussion Topics, Chapter 15, Introduction to the Immune Response and Inflammation

Learning Objective(s)

1. You have been assigned to teach a group of middle-school campers about the body's natural defense system.
a. Explain the four natural body defenses and how they fight invading organisms.
b. What type of natural defense is the skin and how does it protect the body?

2. Mr. Jones has been diagnosed with a skin infection of the left middle finger. Upon assessment, you note that the finger is red, swollen, tender to touch, and painful to move.
a. Explain how these assessment findings are a normal part of the inflammatory response to a foreign organism invasion.
b. What cells are activated to cause this cellular immune response, and what are their basic functions in fighting this infection?