A primigravida at 35 weeks gestation tells the nurse that she gets an occasional cramp in her legs. The nurse should assess the patient's intake of: Calcium Iron Niacin Zinc
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A primigravida at 35 weeks gestation tells the nurse that she gets an occasional cramp in her legs. The nurse should assess the patient's intake of:
- Calcium
- Iron
- Niacin
- Zinc
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- A 48-year old female presents to her physician with concern of worsening fatigue over thepast months.She reports feeling tired out all the time and unable to concentrate. Nothing seems tomake it better, not even rest. She has not seen a physician in a number of years otherthan for routine OB/gyn care and reports having gradually put on 40-50 lbs. over thepast 10 years. (Current weight 253; height 65.5 inches)She undergoes an oral glucose tolerance test and based on that data (and otherlaboratory values) she is diagnosed with type 2 diabetes. Further testing shows she is alsohypertensive and has hyperlipidemia.What isthe metabolic connection between type 2 diabetes and hyperlipidemia? Be specific inyour discussion and include relevant enzymesrelated to lipid metabolism. Circulating levels of which lipoproteins would be consistent with a diagnosis of hyperlipidemia?Be specific and include rationalesfor why some lipoproteins may be elevated and others not. This individual is prescribed…A 50 year old male is experiencing fatigue, dizziness, and headaches with a rapid decline in his visual acuity. He treats his hypertension and type 2 diabetes with medications. His brow and jaw are enlarged (proganthism), his hands and feet and fingers are wide. His wedding ring no longer fits on his finger. He is obese and has a deep voice. -His lab tests show high blood glucose, high GH, high IGF1, normal prolactin, and low testosterone.There was a pituitary mass seen on his CT scan. What is the diagnosis that best matches this patients conditions? a.) gigantism b.) crushing's c.) acromegaly d.) hypopituitarismA 50 year old male is experiencing fatigue, dizziness, and headaches with a rapid decline in his visual acuity. He treats his hypertension and type 2 diabetes with medications. His brow and jaw are enlarged (proganthism), his hands and feet and fingers are wide. His wedding ring no longer fits on his finger. He is obese and has a deep voice. -His lab tests show high blood glucose, high GH, high IGF1, normal prolactin, and low testosterone.There was a pituitary mass seen on his CT scan. What accounts for the patients proganthism? a.) High growth hormone levels after epiphyseal plate closure cause thickening of bone structure b.) low testosterone leads to increased bone growth and density c.) normal bone growth with aging d.) Low IGF=-1 stimulates bone growth
- Create a simple care plan for the geriatric patient as it relates to fluid volume excess and deficit. Case study, you are caring for an 89-year-old- female, she is wheelchair dependent, has rheumatoid arthritis, osteoarthritis, myocardial infarction four years ago and has heart failure. First start out with nursing concepts, what are some risk factors with this patient that put them at risk for either of the following? FVD FVE Now, state how you are going to assess for a FVD and FVE (divide your sheet here, FVE on one side FVD on the other) FVD FVE Nursing interventions as it relates to both FVD and FVE. FVD FVE Evaluation- how do you know it worked?…Considering the condition of the patient and his anatomy and physiology, what are the reasons these symptoms arise?A 56-year-old woman named Cranberry complained during her yearly physical examination of tiredness and difficulty concentrating. She attributed these symptoms to stress at work. She had gained weight over the last year and despite warm weather, she felt chilled without a sweater. Family history was significant for hypothyroidism in her mother and older sister. On physical examination she had a pulse of 58 bpm and a blood pressure of 138/88 mm Hg. Examination of her neck disclosed a small thyroid gland with a palpable pyramidal lobe and a firm, bosselated texture. Serum taken at this time demonstrated a total T4 of 7.0 mcg/dL and a TSH of 22.0 mcIU/ml. In addition, antithyroglobulin antibodies were positive at 1:640 and antimicrosomal antibodies were positive at 1:5120. These results supported the clinical impression of hypothyroidism; also, the texture of her thyroid gland and a positive family history suggested an autoimmune etiological factor. Create a Nursing Care Plan focusing…
- A 63-year-old woman reports for her annual physical examination. She has no major previous medical history but does have a recent history of a broken wrist she sustained after a mild fall. Three years ago her height was recorded at 5'3" and is now recorded at 5'1". She complains that she can't be quite as active as she used to be and that her back is beginning to bother her. This leads her to be outside less frequently. Her physician orders some laboratory testing and diagnoses her with osteoporosis. Analyte 2/20/2018 08:00 Reference Range 135-145 mEg/L 3.5-5.0 mEg/L 95-105 mEg/L 22-28 mEg/L 70-100 mg/dL 7-20 mg/dL 0.5-1.1 mg/dL Na 141 K 4.1 CI 101 CO2 25 Glucose 98 BUN 15 Creat 0.9 BUN/Creat Ratio 17 10-20 8.5-10.5 mg/dL 25-80 ng/mL 10-65 g/mL Calcium 10.4 25-Cholecalciferol 15 ΙPTH 89 Highlight the abnormal results in the above table. List three risk factors this patient has for osteoporosis. What is the most likely cause of her case of osteoporosis? Explain. What are two treatments…SITUATION: Bella Bernardo 24 year old gravida 4 para 2 visits the prenatal clinic for her check-up. Her last LMP was August 21, 2020. Determine the age of gestation AOG] of the client on December 25, 2020. The nurse anticipates the following laboratory exams to be requested, except: a. Serum HBSAg b. Blood glucose level c. Urinalysis d. Complete blood countA 5-year-old boy is brought to the pediatrician's office for an annual visit. The mother reports he has been a sickly infant and often appears drowsy. She also has concerns over her son's persistent thirst and frequent urination. Blood samples are taken for insulin measurements at time zero and 1 hour after a glucose loading test. The results of this testing are illustrated in the table below: Baseline blood sample Control Serum insulin levels (mU/L) Patient 0.8 6 +/- 2 1 hour after glucose load Patient 5 Control 40 +/- 11 1. What is this information likely to suggest about the underlying biochemical basis for the patient symptoms? 2. What would you predict the patients' fasted blood glucose levels to be given his current condition? (e.g. above normal range; within the normal range; below the normal range) 3. Based on this diagnosis, what 2 regulatory enzymes are likely to be active in this individuals' current condition. Be sure to include a rationale as to why the activity of
- G1: CASE ANALYSISA 28 year old woman is seen with an easy fatigue for a couple of months. She is currently 24 weeks pregnant with her 2 baby in 2 years. She did not see any obstetrician nor even take vitamins since the start of her pregnancy. Lately, she has developed a taste of eating ice. She has no complaint of any other symptoms. She doesn't even have family or past history. She doesn't smoke nor drink as well. Physical examination is positive for pale conjunctiva, mild spooning of nails and an IL/VI systolic murmur at left lower sternal border. Stool are negative for occult blood. What is the woman's condition and what vitamin deficiency caused it? And why?Mrs. Sara Jones, an 84-year-old,250 lbCaucasian female, is admitted to the unit for a hip fracture. She has been active and likes to garden. She does admit to smoking a pack of cigarettes a day. She also has a history of atrial fibrillation, which is why she receives Coumadin 2 mg every day. Mrs. Jones will require general anesthesia for her hip surgery. She is very apprehensive since being admitted 2 hours ago. (Learning Objectives 1, 2, 3, 4, 5, 7, 8, 9) 1. What risk factors for surgery does Mrs. Jones have? 2. What laboratory results of this client should the nurse review? Why? 3. Discuss what steps should be taken in preparing this client for the postoperative care.Orthostatic hypotension Select all that apply. is a medical emergency that indicates postpartum hemorrhage is a normal postpartum finding is caused by hemodynamic changes in the immediate postpartum period episodes may cause the patient to need assistance while ambulating episodes will require strict bedrest for several hours afterward
