The least five questions asked by the nurse to Mrs. M and to provide reasons for each of those questions. Case summary: Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing stomach cramping.

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Answer 1

Question

Chapter 51, Problem 1CS

(1)

Summary Introduction

To determine:

The least five questions asked by the nurse to Mrs. M and to provide reasons for each of those questions.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing stomach cramping.

(2)

Summary Introduction

To explain:

The types of problems that are generally related to the long-term use of laxatives.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(3)

Summary Introduction

To determine:

Nonpharmacologic ways that help to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(4)

Summary Introduction

To explain:

The best choice of over-the-counter drug that helps to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

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DaVita Dietitian Reference Manual Module 7- Adequacy of Hemodialysis CASE STUDIES Case 1 David was diagnosed with chronic kidney disease a year ago, and now needs hemodialysis. At his first treatment, the nurse hooks up the bloodlines to an access in David's chest. He tells her that he had surgery on his arm three months ago so it can be used for dialysis eventually. 1. What type of access does David have for the initial treatment? 2. Is David's arm access most likely a graft or fistula? 3. What possible reasons prevent use of a fistula or graft for the first dialysis treatment? Case 2 Ramon, a hemodialysis patient for six years, has lost 1.5 kg over the past six weeks. He denies nausea or vomiting, but does admit to eating less at meals and skipping dinner some days. Current dialysis prescription is: 3 1/2 hours (210 minutes), 3 times a week, ASAHI 1050S, APS dialyzer, dialysis flow rate 800 ml/min, blood flow rate 400 ml/min. Monthly bloodwork is as follows: Date K PO4 Pre-BUN…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis REVIEW QUESTIONS True False 1. 27 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. Urea Reduction Ratio is a more accurate measurement of dialysis adequacy than Urea Kinetic Modeling. A fistula is the preferred type of vascular access. In the formula Kt/V, the V represents volume of total body water in which urea is distributed. In the formula Kt/V, time is measured in 15-minute increments, so 220 minutes would be rounded off to the nearest quarter hour. The DaVita minimum goal for adequacy is a spKt/V≥ 1.0. A measured height and accurate dry weight are required to obtain an accurate Kt/V result. A very low post BUN result usually means the patient is not eating enough protein. KRU is a measure of residual urea clearance by the patient's kidney, requiring a 24-hour urine collection. The Kt/V Delivered (single pool) is the value used for determining adequacy and comparing outcomes in DaVita facilities. Catheters are…

DaVita Dietitian Reference Manual Module 7 - Adequacy of Hemodialysis Case 3 Beverly's monthly adequacy of dialysis results came back lower than usual. Her Kt/V is 1.13. Flow sheet data reveals the following: Prescribed BFR 400, patient ran BFR 325 during treatment Blood pressure dropped to 72/58 during treatment, so UFR was turned off. Dry weight 65 kg, pre dialysis weight 69 kg, post dialysis weight 66.5 kg 1. What are DaVita's goals for Kt/V? 2. What is your impression of why the Kt/V is low? 3. What additional information would help in determining why Beverly's adequacy results were below goal?

Answer 2

Question

Chapter 51, Problem 1CS

(1)

Summary Introduction

To determine:

The least five questions asked by the nurse to Mrs. M and to provide reasons for each of those questions.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing stomach cramping.

(2)

Summary Introduction

To explain:

The types of problems that are generally related to the long-term use of laxatives.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(3)

Summary Introduction

To determine:

Nonpharmacologic ways that help to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(4)

Summary Introduction

To explain:

The best choice of over-the-counter drug that helps to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Expert Solution & Answer

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Answer 3

Question

Chapter 51, Problem 1CS

(1)

Summary Introduction

To determine:

The least five questions asked by the nurse to Mrs. M and to provide reasons for each of those questions.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing stomach cramping.

(2)

Summary Introduction

To explain:

The types of problems that are generally related to the long-term use of laxatives.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(3)

Summary Introduction

To determine:

Nonpharmacologic ways that help to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(4)

Summary Introduction

To explain:

The best choice of over-the-counter drug that helps to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Expert Solution & Answer

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See solution

Answer 4

Question

Chapter 51, Problem 1CS

(1)

Summary Introduction

To determine:

The least five questions asked by the nurse to Mrs. M and to provide reasons for each of those questions.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing stomach cramping.

(2)

Summary Introduction

To explain:

The types of problems that are generally related to the long-term use of laxatives.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(3)

Summary Introduction

To determine:

Nonpharmacologic ways that help to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(4)

Summary Introduction

To explain:

The best choice of over-the-counter drug that helps to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Expert Solution & Answer

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Check out a sample textbook solution

See solution

Answer 5

Chapter 51, Problem 1CS

(1)

Summary Introduction

To determine:

The least five questions asked by the nurse to Mrs. M and to provide reasons for each of those questions.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing stomach cramping.

(2)

Summary Introduction

To explain:

The types of problems that are generally related to the long-term use of laxatives.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(3)

Summary Introduction

To determine:

Nonpharmacologic ways that help to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

(4)

Summary Introduction

To explain:

The best choice of over-the-counter drug that helps to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Answer 6

Chapter 51, Problem 1CS

(1)

Summary Introduction

To determine:

The least five questions asked by the nurse to Mrs. M and to provide reasons for each of those questions.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing stomach cramping.

Answer 7

Chapter 51, Problem 1CS

(1)

Summary Introduction

To determine:

The least five questions asked by the nurse to Mrs. M and to provide reasons for each of those questions.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing stomach cramping.

Answer 8

(2)

Summary Introduction

To explain:

The types of problems that are generally related to the long-term use of laxatives.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Answer 9

(2)

Summary Introduction

To explain:

The types of problems that are generally related to the long-term use of laxatives.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Answer 10

(3)

Summary Introduction

To determine:

Nonpharmacologic ways that help to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Answer 11

(3)

Summary Introduction

To determine:

Nonpharmacologic ways that help to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Answer 12

(4)

Summary Introduction

To explain:

The best choice of over-the-counter drug that helps to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Answer 13

(4)

Summary Introduction

To explain:

The best choice of over-the-counter drug that helps to prevent constipation.

Case summary:

Mrs. M is a 66-year-old school teacher who is active and in good health arrived at the health office complaining of constipation. She stated that she had only one bowel movement for every three days. During the assessment, the nurse discovered that Mrs. M was taking the stimulant laxative up to twice in a day and also feels weak. Mr. M also stated that she is also experiencing tummy cramping.

Answer 14

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Answer 17

Ch. 51 - Prob. 1O Ch. 51 - Prob. 2O Ch. 51 - Prob. 3O Ch. 51 - Prob. 4O Ch. 51 - Prob. 5O Ch. 51 - Prob. 1CS Ch. 51 - Prob. 1NERQ Ch. 51 - Prob. 2NERQ Ch. 51 - Prob. 3NERQ Ch. 51 - Prob. 4NERQ

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Chapter 51 Solutions