Scenario:Mr. John Smith, a 72-year-old man, has been receiving palliative care for advanced pancreatic cancer. Despite efforts to manage his symptoms, his condition has progressively worsened, and he is now in the final stages of his illness. Mr. Smith recently has had a decreased appetite and has been eating very little. Mr. Smith has expressed his wishes clearly to his healthcare team and family: he does not want to receive IV fluids or enteral feeding. He has discussed his decision with the palliative care team, who support his autonomy and have reassured him that this approach aligns with best practices for comfort care. However, Mr. Smith’s family is struggling to accept his decision. His adult children, Sarah and Michael, believe that withholding artificial hydration and nutrition is equivalent to “starving him to death” and feel that starting IV fluids and a feeding tube would prolong his life and believe it will help him feel better. They argue that not providing these measures is unethical and are pressuring the healthcare team to intervene. This disagreement has caused emotional distress for both the family and Mr. Smith, who feels his autonomy is being challenged. The healthcare team is now seeking to mediate this ethical conflict while honoring Mr. Smith’s wishes and providing support to his family. For each discussion question, please provide a thoughtful response (minimum 2-3 sentences). 2. What are the risks associated with artificial hydration and enteral nutrition at the end of life? (discuss a minimum of 3)

Please fill in the blanks, for the amino acid:   Three letter code Isoelectric point L or D configuration Charge at pH 3 Charge at pH 4 Charge at pH 2

Which of these statements is NOT true about β-sheets?  

Why do patients nearing end-of-life often give off an acetone/musky smell?

A hospice nurse has recently experienced the deaths of several patients and is beginning to feel emotionally drained and overwhelmed. Which action should the nurse take to promote self-care and prevent burnout?

A transgender patient is nearing the end of life and asks to be referred to by their chosen name and pronouns. What is the appropriate nursing action?

Which opioid is ideal for use in Patient-Controlled Analgesia (PCA) for a patient in an acute pain crisis due to its fast onset and short duration of action?

The difference between motifs and domains in protein structures is best described by which of the following observations: (Multiple answers)

What are the small changes that affect the instructions for a cellular component?

A patient with a terminal illness has a Do Not Resuscitate – Comfort Care Arrest (DNR-CCA) order in place. During a family meeting, one of the patient’s family members expresses confusion about the difference between DNR-CCA and Do Not Resuscitate – Comfort Care (DNR-CC). What is the nurse’s best explanation?