Mr. Mitch Igan is unable to pass a modified barium swallow study and remainsNPO. A PEG is placed.He is tolerating Jevity 1.2 and IVF are discontinued in anticipation of dischargein two days.After discharge his cousin, Mr. Ken Tucky, will live with him and help him withbolus feedings.You recommend bolus feedings prior to discharge to assess tolerance and toallow the nurses to train the patient and Mr. Tucky on bolus feedings, waterflushes, medication administration, and care of the PEG.a) How many cartons of Jevity 1.2 will Mr. Igan need per day?b) What is the total volume of water (mL) needed daily?c) What volume of water (mL) should be given with each bolus feeding?

Approach to solving the question:1. Determine the total volume of Jevity 1.2 needed per day based on…

Answered: Mr. Mitch Igan is unable to pass a…

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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The nurse is reviewing the recommended preventative care for clients with asthma, chronic bronchitis, and emphysema. Which health care measure is most important for the nurse to recommend to these clients? 1. Ensure supplemental oxygen and respiratory medications are available at all times. 2. Use nasal or cough tissues followed by handwashing at all times. 3. Get annual flu and pneumococcal vaccine polyvalent (PPSV23) vaccines. 4. Avoid largely crowded areas during the colder months of the year.
82-year old woman who was admitted the previous day from an assisted living facility with cellulitis to her RLE (ankle). She was admitted for IV antibiotic therapy and treatment for mild dehydration. Today she has had a low grade fever but otherwise her vital signs are stable. She has a history of Type II diabetes that has been well controlled with medication. Learners are expected to perform a general survey and to assess LOC and vital signs.
A previously healthy 12-month-old boy is brought to the emergency department by his parents because of a 1-day history of intermittent abdominal pain, loss of appetite, and vomiting. His parents say that he seems disoriented. He appears pale and ill. His temperature is 36.8°C (98.2°F), pulse is 128/min, respirations are 36/min, and blood pressure is 84/62 mm Hg. Abdominal examination shows mild distention; increased, high-pitched bowel sounds are heard. A mass is palpated in the left upper quadrant. Test of the stool for occult blood is positive. An x-ray of the abdomen is shown. Which of the following is the most likely underlying cause of this patient's current symptoms? A) Fecalith B) Foreign body obstruction C) Functional ileus D) Malrotation of the midgut E) Telescoping of the bowel
A nurse is caring for a preschooler on the pediatric unit. Exhibit 1 Provider Prescriptions Day 1, 2350: Admit for observation. Obtain vital signs every 4 hr and PRN. Administer oxygen 2 L/min via nasal cannula to maintain oxygen saturation above 95%. Initiate saline lock. Administer ceftriaxone 250 mg IV every 12 hr. Administer acetaminophen oral suspension 240 mg every 4 hr PRN for temperature greater than 38° C (100.4° F). Place on regular diet and encourage oral fluids of preschooler's choice. Monitor intake and output every 8 hr. Exhibit 2 Assessment Day 2, 0030: Preschooler lying on bed, awake and alert. Breath sounds with wheezing auscultated on expiration on the right side. Nonproductive cough with no retractions or nasal flaring observed. Abdomen soft and nondistended, bowel sounds active in all four quadrants. Preschooler reports headache and pain in abdomen. Rates pain in abdomen as a 2 on a 0 to 10 FACES pain scale. Exhibit 3 Vital Signs Day 2, 0030: Temperature 38.1°…
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Terminally ill male hospice client who is at home is showing decreased awareness office rounding his appetite is poor, and he often refuses oral intake of solid and liquid for the past several days. He has been unable to get out of bed which action should the hospice nurse implement.
A 60-year-old woman comes to the physician because of a 2-month history of shortness of breath and cough and a 2- week history of progressive swelling of her face. The cough is productive of approximately /4 cup of mildly blood-tinged, white-to-yellow sputum daily. She has had a 2.3-kg (5-Ib) weight loss over the past 4 months. She has a 15-year history of hypertension treated with enalaprl. She has smoked 1 pack of clgarettes daily for 45 years. Her pulse is 90/min and regular, respirations are 20/min, and blood pressure is 135/90 mm Hg. Physical examination shows edema of the face and neck and jugular venous distention. Breath sounds are mildly decreased throughout all lung fields, and there are no cardiac murmurs. Her serum sodium concentration is 125 mEq/L. Which of the following is the most likely direct cause of this patient's facial edema? A) Angioedema from angiotensin-converting enzyme (ACE) inhibitors B) Impaired cardiac filling from cardiac tamponade C) Increased vascular…
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Situation:Sara Lin is an 18-year-old patient who had an emergency appendectomy. It is day 2 postoperative, and Sara is expected to be discharged late this afternoon. We have discontinued her IV antibiotics after her morning dose. She will be getting oral meds today.Background:Sara presented in the ED 2 days ago with a 2-day history of nausea, vomiting, and increasing pain. She was taken to surgery that day and had an open appendectomy for a ruptured appendix. She has been stable since arriving to the unit. Her parents have been here with her most of the time and are very helpful and supportive.Assessment:Sara is alert and oriented. She needs to be reminded to use her incentive spirometer. Abdomen is soft and tender to touch. Bowel sounds active. She has progressed to regular diet, and she's eating small amounts. No nausea reported since postoperative day 1. The surgery team changed the abdominal dressing early this morning. The incision is closed with staples; the edges are well…
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