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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Considering the kcals the patient is receiving from propofol and D51⁄2NS, what should be the rate (ml/hr) of the tube feeding you selected? 30 ml/hr 45 ml/hr 55 ml/hr 65 ml/hr

You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the estimated protein need for this patient? 45 – 50 g/day 86 – 108g/day 108 – 180g/day 144 – 188 g/day What type of tube feeding formula would you recommend for this patient? Standard 1.5 kcal/ml formula Glycemic control product, 1.0 kcal/ml Low residue, high protein, nutritionally balanced,1.2 kcal/ml High protein, calorie control product, 2.0 kcal/ml

You are seeing a 68 year-old male patient admitted to the ICU. He is sedated on the ventilator with propofol at 20ml/hr, D51⁄2NS running at 75ml/hr. and a past medical history of DM2, obesity, CAD, HTN, and Pneumonia. Ht 172cm, Wt 72kg, Alb 2.3, VE=7.9 L/min, Tmax =38.4 C 4.1 What is the total kcal this patient is receiving before the initiation of TF (Hint: include propofol and D51⁄2 NS in calculation)? 306 kcal 528 kcal 678 kcal 834 kcal Which estimated prediction equation will you recommend to calculate the kcal need for this patient? Penn State Equation (2003b): Mifflin(0.96)+ VE (31) + Tmax (167)-6212 MifflinStJeor =(10xW)+(6.25xHt)–(5xAge)+5 Harris-Benedict equation: kcal/day (male) = 66 +13.8 (W) + 5.0(H) – (6.8 x A) Ireton-Jones equations (1992)(ventilator-dependent): 1925 – 10 (A) + 5 (W) + 281 (S) + 292 (T) + 851 (B) What is the estimated kcal goal for this patient? 1787 kcal 1847 kcal 1927 kcal 2317 kcal What is the…

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

Want to see the full answer?

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 15

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Answer 16

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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