Nutrition Through the Life Cycle (MindTap Course List)
6th Edition
ISBN: 9781305628007
Author: Judith E. Brown
Publisher: Cengage Learning
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Chapter 3, Problem 22RQ
Summary Introduction
To examine: Whether the statement “Individuals born with PKU who adhere to an adequate, low-phenylalanine diet during childhood and later in life tend to develop normally or at levels that are somewhat below normal” is true or false
Introduction: Phenylketonuria (PKU) is an inherited disorder of amino acid
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Betty Cooper, 25-y/o-female, is admitted to the emergency department with decreasing level of consciousness. She is 98lbs and stands at 5ft. She has a history of diabetes mellitus since she was 9 years of age. A physical assessment and laboratory data reveal the following:➢ Dry skin, poor turgor > Serum glucose = 504mg/dl➢ RR = 40cpm, rapid and deep & labored > Serum Na = 130 mEq/L➢ HR = 118bpm, weak pulse > Serum K = 5 mEq/L➢ Temp = 98°F > Serum Cl = 108 mEq/L ➢ BP = 110/70 mmHg > BUN = 74.68 mg/dL➢ ABG: pH = 7.15; HCO3; 13mEq/L; pCO2 = 35 mEq/L1. Calculate Betty’s serum osmolality. 2. What type of diabetes mellitus does Betty possibly have? Why? 3. Which complication of diabetes mellitus does Xia possibly have, diabetic ketoacidosis or hyperglycemic hyperosmolar state? Why? 4. What is the 1st priority nursing management and medical management? Why?
A 3-week-old female newborn is brought to the emergency department because of a 4-day history of bluish discoloration of the feet, poor feeding, excessive sweating, and irritability. She was born at term following an uncomplicated pregnancy and spontaneous vaginal delivery. Examination following delivery showed no abnormalities and she was discharged two days later. She is exclusively breastfed. She appears ill. She is at the 70th percentile for length and 20:h percentile for weight. Her temperature is 36.8°C (98.2°F), pulse is 168/min, and respirations are 66/min. Her blood pressure is 91/69 mm Hg in the right arm, 90/70 mm Hg in the left arm, 72/67 mm Hg in the right lower limb, and 70/68 mm Hg in the left lower limb. Pulse oximetry on room air shows an oxygen saturation of 98% in the right hand and 78% in the right foot. On examination, subcostal retractions are seen, and the liver is palpated 4 cm below the right costal margin. Chest auscultation discloses fine crepitations in both…
Chapter 3 Solutions
Nutrition Through the Life Cycle (MindTap Course List)
Ch. 3 - Prob. 1.1CSCh. 3 - Prob. 1.2CSCh. 3 - Prob. 1.3CSCh. 3 - Prob. 2.1CSCh. 3 - Prob. 2.2CSCh. 3 - Prob. 2.3CSCh. 3 - Prob. 1RQCh. 3 - Prob. 2RQCh. 3 - Prob. 3RQCh. 3 - Prob. 4RQ
Ch. 3 - Prob. 5RQCh. 3 - Prob. 6RQCh. 3 - Prob. 7RQCh. 3 - Prob. 8RQCh. 3 - Prob. 9RQCh. 3 - Prob. 10RQCh. 3 - Prob. 11RQCh. 3 - Prob. 12RQCh. 3 - Prob. 13RQCh. 3 - Prob. 14RQCh. 3 - Prob. 15RQCh. 3 - Prob. 16RQCh. 3 - Prob. 17RQCh. 3 - Prob. 18RQCh. 3 - Prob. 19RQCh. 3 - Prob. 20RQCh. 3 - Prob. 21RQCh. 3 - Prob. 22RQCh. 3 - Prob. 23RQCh. 3 - Prob. 24RQ
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