N2113_Module_2

The nurse is teaching a client about diet changes due to his recent cholecystectomy with emphasis on low-fat choices. Which of the following is an example of a good menu for the client? ½ cup of sweet potatoes with marshmallows, 1 cup of steamed broccoli, 1 cup cornbread dressing, 4 oz ham 1 cup sweet potatoes, 1 cup steamed collard greens, 3 oz wild rice, 3 oz ham 5 buffalo sauce coated chicken wings, 1 cup mashed potatoes with 1 tsp butter and sour cream, 2 cups green salad with lettuce, carrots, tomatoes, onions, radishes, bell peppers, and 2 tbsp oil and vinegar dressing 1 hamburger bun with sesame seeds, 4 oz hamburger patty fried, 1 slice each American cheese, onion, tomato, and lettuce, 1 tbsp ketchup and mayo

Answer all four questions. The topic is Nutrition Counseling and Dietary Instructions. Note: Make your own choices on what the final diagnosis of the patient so that you will know the diet instructions. Who are qualified to provide dietary instructions What are the preliminary data needed for diet instructions? How will you obtain the preliminary data? How will you prepare the dietary instructional materials.

Background Story: Margaret was taken to her doctor because of her breathing problem when sleeping. Her doctor diagnosed her with sleep apnea related to her weight and referred to the registered dietitian for nutrition counselling.   Personal Information:   Name: Hufalar, Margaret G.   Gender: Female   Height: 5’4"   Weight: 175 lbs   Doctor’s Diagnosis: Obstructive sleep apnea (OSA) secondary to obesity and physical inactivity   Nutrition:   General: Very good appetite with consumption of a wide variety of foods. Margaret’s physical activity level is generally low. She discontinued physical activities for five years now. She likes playing video games and reading.   Sample of 24-hour meal recall:   Breakfast: 4 servings of pancakes (4 inches across, 1/4 inch thick), 8 oz whole milk, 4 oz apple juice   Lunch: 2 burrito and cheese sandwiches (2 slices of white bread, 1 oz. mozzarella, 1 tbsp mayonnaise each) 1-oz pkg potato chips, 8 oz whole milk   After school snack: Peanut butter and…

The client performs self- peritoneal dialysis. What should the nurse teach the client about preventing peritonitis? Select all that apply. Broad-spectrum antibiotics may be administered to prevent infection. Clean technique is permissible for prevention of peritonitis Peritonitis is characterized by cloudy dialysate drainage and abdominal discomfort. Antibiotics may be added to the dialysate to treat peritonitis.

The nurse knows that several medications have GI side effects and may result in diarrhea or constipation. Select the medication that would likely cause constipation. (Select all that apply) Ferrous sulfate Magnesium Citrate Meperidine Maalox Amphojel

A nurse is caring for a 56-year-old client who presented to the emergency department with a feeling of abdominal fullness and dyspepsia. The client reports a recent bloody emesis and long-term ibuprofen use. Which of the following conditions could the client be exhibiting based on the symptoms? Peptic ulcer disease Gastritis Hiatal hernia Uvulitis

A 55-year-old woman with a prior history of partial colectomy w/colostomy and small bowel obstruction three months ago that resolved with bowel rest and required no surgical intervention. Three days ago Mary developed a sudden onset of sharp generalized abdominal pain with nausea, vomiting and decreased output from her colostomy bag. She has had two small glasses of water today. Mary is admitted to the medical/surgical unit and you will be the nurse caring for her. You receive the following highlights of report from the emergency department (ED) nurse: CT of her abdomen/pelvis revealed high-grade small bowel obstruction. Lactate 2.8, WBC 14.7, Sodium 143, Potassium 3.7, Creatinine 1.35 An NG was placed and she is on low intermittent suction. She had NG output of 225 mL of bile green liquid. Received hydromorphone 0.5 mg IV for pain one hour ago. Abdominal pain decreased from 9/10 to 3/10 and she is resting more comfortably. Abd. is firm, slightly distended, with tympanic bowel sounds.…

A 35-year-old man was brought to the Accident and Emergency Department (A/E) by his wife with complaints of abdominal pain and diagnosed with pancreatitis. His family history shows that he is married and has two children aged 8 years and 3 years While completing the nursing admission assessment, he tells the nurse that he drinks "a couple of cases of beer each week" He states his last drink was this morning. While doing rounds, the evening shift nurse notices that he has tremors and is very anxious and restless His vital signs are blood pressure 130/82 mm of Hg, pulse rate 88bpm, respiratory rate 16bpm, and temperature 99 68F (37 58C) The physician is notified Daily folic acid and thiamine, and lorazepam as needed, are prescribed Discussion How would you carry out the different roles of a nurse as stated below? Care giver Teacher Advocate Change agent Communicator

Mrs. Vanessa Narciso, Gravida 1 Para 1is on her 3rd day post normal spontaneous delivery. She complains of inability delecate in spite of taking regular and frequent ambulation. The following are recommended to reestablish Mrs. Vanessa's regular defecation Which is LEAST priority? High roughage diet Adequate fluid intake Milk of magnesium 45 ml Do not manual extraction

The perioperative nurse is providing care for a patient who is recovering on the postsurgical unit following a cholecystectomy. The patient has not started ambulating and states he needs to rest in bed. For what complication is the client most at risk? atelectasis shock anemia dehydration

MAKE AN SCIENTIFIC AND SITUATIONAL ANALYSIS OF THE SAID DX. dx: Imbalanced nutrition related to lack of knowledge about diet SCENARIO (for reference):  Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time…

Ms Young, a 68-year-old COPD patient exhibits dyspnea with minimal exertion.  What specific questions the nurse should ask to assess how dyspnea might be affecting Ms Young’s nutritional status.

A patient has a fecal impaction. The nurse correctly adminis-ters an oil-retention enema by: a. Administering a large volume of solution (500–1,000 mL)b. Mixing milk and molasses in equal parts for an enemac. Instructing the patient to retain the enema for at least30 minutesd. Administering the enema while the patient is sitting onthe toilet

Please help to answer the following details. name of products : serving size : total number of servings per container: calories from one servings: calories from one container:

what is the FOCUS documentation of the following senario? Mr. Smith is one day post-operative (Post-up) abdominal surgery. He complains of (c/lo) "severe pain" to his abdomen and rates his pain level as an 8 on a scale of 1-10. he is grimacing. His heart rate is 92. The nurse administers morphone sulfate 4mg IV. The nurse evaluates Mr. Smith's pain after administering the morphine sulfate. Mr. Smith says his pain has decreased and now rates his pain level as a 2. HE is no longer grimacing and his heart rate is 72.

a 6 month old girl is brought to the emergency department because of a 12 hour history of abdominal distention and vomiting . her mother says that she has been crying uncontrollably and seems to be in pain . her temperature is 38.9 C . Abdominal examination shows tympany and tenderness . an emergency operation is done to reduce an ilio-ileal intussuseption and a 5 cm structure is exercised . Pathologic examination of the exercised tissue shows ectopic gastric mucosa . this patient's abnormality is most likely a remnant of which of the following structures ? A) cloaca B) septum transversum C) umbilical artery D) urachus E) vitelline duct

Please help me

A nurse is teaching a patient with frequent constipation how to implement a bowel-training program. What is a recom-mended teaching point? a. Using a diet that is low in bulkb. Decreasing fluid intake to 1,000 mLc. Administering an enema once a day to stimulate peristalsisd. Allowing ample time for evacuation

Question : what is the smart goal of nursing for small bowel obstruction?

Mr. Emad is a 35-year old newly married patient. He visited a healthcare facility complaining of epigastric discomfort. He was diagnosed with gastroesophageal reflux. Mr. Emad had been using an antacid for immediate relief of his epigastric discomfort. He was prescribed cimetidine and was referred to the nursing patient teaching and care. Prepare a nursing care and a teaching guide for Mr. Emad. The guide should include Assessment: History and Examination, Nursing Diagnoses, Implementation, Evaluation, and Patient Teaching.

What can we help with while Mr. Garcia is still in the hospital. He’s leaving the next day. What can we help with his nutrition right now. Ex: teaching

Case Study: Katherine Katherine A healthcare professional is caring for Katherine, an older adult, at the clinic during a routine physical exam. The client is at risk for osteoporosis, has high blood sugar, and high blood pressure. Question 2/2 Note: You will not have another attempt on this question if you navigate away. Please take your time answering this question before moving forward. Which nutrients should the client reduce in their diet based on the physical exam findings? Select all that apply. Fiber Fats ☐ ☐ ☐ ☐ Sodium Vitamin D Protein

Health Care Problems Therapeutic Goal Therapeutic Recommendation Rationale Peptic Ulcer       Irritable Bowel Syndrome       Grave’s Disease       Chronic Renal Dysfunction       Iron deficiency Anemia

CASE: PEPTIC ULCER DISEASE Chief complain: Mr. Garcia, a 57-year-old man, was admitted yesterday after he began passing black stools. He has a two-day history of severe stomach pains and has had indigestion on and off for several months. He undergoes an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. His doctor discharge him the same day and was given with a discharge medication order. Answer the following: 4. Following a review of the discharge medication order, the following are prescribed: enalapril 5 mg twice daily,omeprazole 20 mg twice daily, and furosemide 40 mg daily. It was documented that Naproxen should bediscontinued. What is the reason for this? 5. Will you recommend Mr. Garcia the use of antacids for his ulcer? 6. Considering the medical history of Mr. Garcia, below are some options that you can recommend to the doctor as a replacement for Naproxen, for his arthritis. Discuss which of the given will be suitable.• Paracetamol +…

Ptient has obstructive sleep apnea, secondary to obesity and physical inactivity. Create a 1-day breakfast and lunch meal for the patient and provide reason why each food helps to improve health.

Case Scenario: You are assigned to care for an 11-year-old client with gastrointestinal bleeding. The client already has an NGT inserted for gastric decompression. The doctor ordered for a diagnostic procedure to be done and to do gastric lavage to prepare the client. 1 Liter of cold PNSS was ordered as the irrigating solution. As a nurse assigned: 1. What assessment would be observed from the patient? 2. As you have performed gastric lavage, create an FDAR charting for this patient. DATA, ACTION DATE/ TIME FOCUS and RESPONSE

GASTROINTESTINAL SYSTEM: Mhiema Mou, 14 years of age, presents to the clinic for an annual checkup. Nurse Roque updates the patient’s history by asking her if she has had any gastrointestinal pain associated with meals, at rest, or with activity, or with having a bowel movement. Nurse Roque also asks the patient if she has had any unexplained weight loss or weight gain since her last annual checkup. Nurse roque asks the patient if she has had any changes in her bowel habits or changes in the usual stool characteristics. The patient stated she has had no such problems. Nurse Roque works in the gastrointestinal (GI) lab, in which many endoscopies (with contrast dye) and scope procedures are done. What age-related considerations should the nurse utilize when performing the focused physical assessment for the gastrointestinal system? What are considerations prior admission of client for contrast dye GI series? What are consideration that the nurse should anticipate before, during, and…

Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Complications/symptoms if left untreated for the case

Topic: Fred Davis is a 52 - year old overweight male who is complaining of tiredness and blurred vision. He says that for the last two weeks, he's been very hungry and very thirsty, but despite eating more, he has lost 8 pounds. He also mentions that he has been urinating more frequently. When asked, he mentions that his paternal grandfather suffered from heart disease and diabetes. Blood tests show blood glucose of 190 mg / dL. Question: Detailed description of condition: (be sure to include organs and organ systems involved, naturally occurring control mechanisms or how the system normally functions, etc.)

Health Care Problems Therapeutic Goal Therapeutic Recommendation Rationale         Irritable Bowel Syndrome       Grave’s Disease       Chronic Renal Dysfunction       Iron deficiency Anemia

please answer questions 1-3