NU 231 CUSTOM NURSING BUNDLE
9th Edition
ISBN: 9781975150372
Author: Taylor
Publisher: Wolters Kluwer
expand_more
expand_more
format_list_bulleted
Concept explainers
Videos
Question
Chapter 39, Problem 14PFN
Summary Introduction
Lungs are located in the chest and play a primary role in respiration. The two types of lung cancers are known as small cell lung cancer and non-small cell lung cancer. Smoking, continuous exposure to harmful gases, and genetics are major risk factors associated with lung cancer. Shortness of breath, pain (in the chest), blood in cough, and metastasis are important complications of lung cancer. The mechanical ventilator is used to provide oxygen supply to the lung cancer patient. It will improve the oxygenation and breathing function of the patient during emergency situations.
Expert Solution & Answer
Want to see the full answer?
Check out a sample textbook solution
Students have asked these similar questions
32.
is generated or produced from dietary protein and tissue catabolism.
33. What is the ideal level for nPCR?
34. What can mask albumin levels?
35. Name causes of malnutrition in dialysis patients.
36. What is CAPD?
37. Should a HD pt eat more potassium then a PD pt? Why or why not?
38. What percent of a HD pt's protein should come from HBV sources?
39. Why would there be an increase in triglycerides in CAPD and briefly review nutrition therapy
to decrease.
40. What is epogen? Why is it given to patients with renal disease?
41. List 8 fruits and 8 vegetables that are considered high in potassium for renal patients.
42. List 10 foods that are considered high in phosphorus for renal patients.
Focus
Part II:
Please create an electronic bulletin board for each of the following concepts (one per bullet):
.
Bulletin board 1: List of foods/beverages that are high and low in phosphorus
Bulletin board 2: List of foods/beverages that are high and low in potassium
Bulletin board 3: List of foods/beverages that are high and low in protein
H
Folic Acid
Vitamin B6
Vitamin C
Vitamin B12
14. What are the dietary recommendations for a dialysis patient?
Calories
Protein-HD-
Potassium-HD-
Phosphorus-
PD-3000-4000mg/d
15. Should dialysis pts take fat-soluble vitamins why or why not?
16. Should patients take their B-complex vitamins prior to treatment? Why or why not?
17. What are the recommendations for physical activity?
18. What are some possible causes of low serum albumin? What are some possible dietitian
Interventions?
19. What are some possible causes of dry weight loss? Dietitian intervention?
20. What are some possible causes of hyperkalemia? Dietitian Intervention?
21. What are some possible causes of hypokalemia? Dietitian Intervention?
22. What are some possible causes of hyperphosphatemia? Dietitian Intervention?
23. What are some possible causes of hypophosphatemia? Dietitian Intervention?
24. What are some possible causes of Hypercalcemia? Hypocalcemia? Dietitian Intervention?
+Hypercalcemia-
Hypocalcemia-
Dietition…
Chapter 39 Solutions
NU 231 CUSTOM NURSING BUNDLE
Knowledge Booster
Learn more about
Need a deep-dive on the concept behind this application? Look no further. Learn more about this topic, nursing and related others by exploring similar questions and additional content below.Similar questions
- Study Guide on anatomy, physiology and pathophysiology of kidneys (basics)arrow_forwardRenal Experience: Complete and turn into your weekly submission. Part 1: 1. Define the following terms related to renal nutrition: BUN b. Dry weight- Interdialytic wt. Gain (IDWG d CRF ARF f. nPCB- B PTH- h. Kt/v- Kinetic modeling Creatinine clearance 3. What are the main functions of the kidney? 4. List several causes of CRF 5. What is the difference between Hemodialysis (HD) and Peritoneal Dialysis (PD)? 6. What are the two different types of Peritoneal Dialysis? 7. How does the dialyzer/artificial kidney work? 8. What are some possible complications of HD? 9. What are some possible complications of PD? 10. What are some advantages of HD? 11. What are some advantages of PD? 12. Describe the differences between a graft, catheter, and fistula. Include pros and cons of each 13. List vitamin/mineral guidelines for dialysis patients. Sodium- Potassium HD- ♦Phosphorus- Calcium- Magnesium Water soluble vitamin supplementation to replace dialysate losses:arrow_forwardDaVita Dietitian Reference Manual Module 9 - Counseling Skills CASE STUDIES Case 1 Sandy is a 28 year old female patient who is new to dialysis and is having difficulty adjusting to her diagnosis of chronic kidney failure. She has poor vision as a result of poorly controlled diabetes for over 15 years. She has had excessive fluid weight gains between her first two treatments. What is your approach to counseling and what tools would you use? Case 2 Smiley is a 90 year old gentleman who is new to dialysis. He is hard of hearing and speaks little English. He lives with his wife who also has limited comprehension of the English language. His daughter states that he has a diagnosis of multiple myeloma. How would you plan for counseling Smiley about his new diet regimen and what materials would you use?arrow_forward
- DaVita Dietitian Reference Manual Module 12--Peritoneal Dialysis CASE STUDIES Case 1 A 38 year old female patient with polycystic kidney disease is here for a clinic visit. She presents with the following labs: albumin 3.5, Hgb 12.1, Corrected Ca 10.8 (3rd time 10.2), Phosphorus 6.9, K 5.4. Her weight is 185 lbs and she is 6'1" tall. She reports a good appetite and weight has been stable. Two months ago, intact PTH was 1972. She has been counseled numerous times on the importance of controlling calcium and phosphorus, however, she loves milk and cheese. She is on Rocaltrol 0.25 mcg/day. She takes Renvela 800 mg as her phosphate binder, using 3 with meals and 2 with snacks, and she is adherent. Her nephrologist has just prescribed Sensipar 30 mg q dinner. What is your care plan for this patient and what nutritional counseling and patient education would you provide? Case 2 A 65 year old man, S/P heart transplant, Hepatitis C and six-month history on hemodialysis is beginning PD. He is…arrow_forwardDaVita Dietitian Reference Manual Module 12-Peritoneal Dialysis DISCUSSION QUESTIONS 1. Identify 3 advantages and 3 disadvantages of peritoneal dialysis compared to hemodialysis. 2. How do the nutritional needs of PD patients differ from those of HD patients? 3. What are the goals for Kt/V for PD?arrow_forwardDaVita Dietitian Reference Manual Module 12--Peritoneal Dialysis 1. 2 3. 4 5 6. 7. 8. 9. 10. REVIEW QUESTIONS True False With PD, there is a greater responsibility for patients to monitor their own dialysis than with hemodialysis. The higher the dextrose concentration in the PD solution, the more fluid removed and the more calories absorbed. PET testing is used to measure peritoneal dialysis adequacy. PD is contraindicated in diabetics due to the high glucose load of PD solutions. Malnutrition is prevalent among PD patients due to protein losses through the peritoneal membrane. This protein malnutrition contributes to increased morbidity and mortality. Sodium and phosphorus are restricted in the diet for PD patients, however potassium intake is usually more liberal than for HD patients. Protein losses are greater during peritonitis. The calories absorbed from dialysate are negligible. Insulin can be given intraperitoneally, if necessary. PD patients are at risk for high triglycerides…arrow_forward
- DaVita Dietitian Reference Manual REVIEW QUESTIONS Module 8-Anemia Management True False 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. The renal vitamin should be taken daily and after dialysis on hemodialysis days. An adequate supply of vitamins B12, folate, and B6, as supplied by the renal vitamin, is needed for red blood cell production. The start dose for Epogen therapy is based on body weight and hemoglobin level. A patient's Iron Saturation (ISAT) is 15% and Ferritin is 95 ng/mL. This indicates absolute iron deficiency. A patient's Ferritin is 1200 ng/mL. This may be due to iron excess, infection, inflammation, or multiple transfusions. The healthy liver produces the hormone erythropoietin, necessary for red blood cell production in the bone marrow. A high normal or high MCV (close to or greater than 100 um³/cell) suggests a deficiency of B12 and/or folate. The DaVita Dietitian should reinforce taking the renal vitamin and timing it properly. The renal vitamin contains vitamin A in order to…arrow_forwardDaVita Dietitian Reference Manual Module 9-Counseling Skills REVIEW QUESTIONS 1. 2. 3. 4. 9 5. 6. 7. 8. 9. 10. True False It is not appropriate to sit down when counseling patients. It is appropriate to use small, less technical terms when educating patients. The environment or surroundings play a role in effective patient counseling. Renal diet education can be completed in one thirty-minute session. If a patient cannot communicate, it is acceptable to eliminate the diet instruction. It is not possible for a hemodialysis patient to follow a vegetarian diet. Using audiotapes or large print materials might be beneficial in educating patients with visual impairments. Frequently missed or shortened treatments are associated with increased morbidity and mortality. It is acceptable to label a patient 'noncompliant' in the medical record. Social and financial concerns have little effect on the patient's ability to adhere to the treatment regimen.arrow_forwardDaVita Dietitian Reference Manual Module 8-Anemia Management CASE STUDIES Case 1 Peter is new to hemodialysis. His renal failure is due to hypertension. He weighs 120 kg. Prior to admission to the dialysis facility, he did not receive Procrit, Aranesp or Epogen (EPO). His bloodwork includes: • Hemoglobin = 9.0 mg/dL • Iron Saturation (ISAT) = 15% Fernüin = 95 ng/mL HD SHAPE 5.1 was ordered by the physician. What are your recommendations? Case 2 Sandy is new to hemodialysis. Her renal failure is due to diabetes. During the month prior to admission to the dialysis facility, she received Procrit (2000 units, once a week which is comparable to Epogen at the same dose). She weighs 65 kg. Sandy has an infection on her foot due to diabetes Her bloodwork includes the following. Hemoglobin = 9.4 mg/dL Iron Saturation (ISAT) = 25% Ferritin = 1230 ng/mL HD SHAPE 5.1 was ordered by the physician. What are your recommendations? What factors are affecting this patient's response to erythropoietin?arrow_forward
- Question 1: Between the 1850’s and 1930’s, physicians gained authority and status. What is one condition or event that led to this? Starr mentions many conditions or events that led to physicians gaining authority and status, just post one (Consult the Starr textbook, Chapter 3). Question 2: Due to the litigious nature of medicine, physicians often order more tests (lab, X-ray, CT, MRI, EKG, etc.) than the standards of care suggest. This is sometimes referred to as “defensive medicine.” Additionally, a significant amount of a physician’s income is used to pay malpractice/liability insurance. If health care reform initiatives considered capping or limiting the physician’s liability to keep health care costs down, how could it be done?arrow_forwardwhat is the implications of high bp and low bp in respiratory medicinearrow_forwardwhat are the things physio check on the A to E assessment and why do they check them what are the normal values and what does it inicate if they are out of rangearrow_forward
arrow_back_ios
SEE MORE QUESTIONS
arrow_forward_ios
Recommended textbooks for you
Phlebotomy EssentialsNursingISBN:9781451194524Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...NursingISBN:9780323414425Author:Robert J Hubert BSPublisher:Saunders
Fundamentals Of NursingNursingISBN:9781496362179Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9eNursingISBN:9780323327404Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNEPublisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...NursingISBN:9780323414142Author:Hubert BS, Robert J; VanMeter PhD, Karin C.Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...NursingISBN:9781337406291Author:Gerald Corey, Marianne Schneider Corey, Cindy CoreyPublisher:Cengage Learning
Phlebotomy Essentials
Nursing
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:JONES+BARTLETT PUBLISHERS, INC.
Gould's Pathophysiology for the Health Profession...
Nursing
ISBN:9780323414425
Author:Robert J Hubert BS
Publisher:Saunders
Fundamentals Of Nursing
Nursing
ISBN:9781496362179
Author:Taylor, Carol (carol R.), LYNN, Pamela (pamela Barbara), Bartlett, Jennifer L.
Publisher:Wolters Kluwer,
Fundamentals of Nursing, 9e
Nursing
ISBN:9780323327404
Author:Patricia A. Potter RN MSN PhD FAAN, Anne Griffin Perry RN EdD FAAN, Patricia Stockert RN BSN MS PhD, Amy Hall RN BSN MS PhD CNE
Publisher:Elsevier Science
Study Guide for Gould's Pathophysiology for the H...
Nursing
ISBN:9780323414142
Author:Hubert BS, Robert J; VanMeter PhD, Karin C.
Publisher:Saunders
Issues and Ethics in the Helping Professions (Min...
Nursing
ISBN:9781337406291
Author:Gerald Corey, Marianne Schneider Corey, Cindy Corey
Publisher:Cengage Learning
The Psychology of Violent Behaviour; Author: Simon Fraser University;https://www.youtube.com/watch?v=iTdqo_7_qLE;License: Standard Youtube License