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- When assessing the elderly patient, the nurse keeps in mind that certain nonspecific symptoms may represent hypothyroidism in these patients, such as: a) leukopenia, anemiab) loss of appetite, polyuriac )weight loss, dry coughd )cold intolerance, depressionMAKE OTHER (5) NURSING DIAGNOSIS RELATED TO THIS DX: proposed dx: Imbalanced nutrition related to lack of knowledge about diet 1. 2. 3. 4. 5. scenario (for more reference): SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am…Which of the following should the nurse interpret as an indication of a complication after the first few days of TPN therapy? Question 77 options: a) Elevated temperature b) Elevated HbA1c c) Decreased appetite d) A 0.45-0.9 kg weight gain
- A client diagnosed with hypertension is prescribed lisinopril. The nurse should monitor the client for which potential adverse effect associated with this medication? A) Hyperkalemia B) Hypocalcemia C) Hypokalemia D) Hypercalcemia.A client presenting with a major burn injury receives TPN. The expected outcome is to: Question 9 options: a) Ensure adequate caloric and protein intake b) Allow the gastrointestinal tract to rest c) Correct water and electrolyte imbalances d) Provide supplemental vitamins and mineralsA nurse is preparing to assess a client for whom a report has been given noting 6% dehydration. Which signs/symptoms would the nurse anticipate as being present? Select all that apply. a. increased respiratory rate b. hypotension c. headache d. extreme thirst e. sustained tachycardia
- During assessment of a patient who is receiving digoxin, the nurse monitors for findings that would indicate an increased possibility of toxicity, such as:a) apical pulse rate of 62 beats/min.b) digoxin level of 1.5 ng/mL.c) serum potassium level of 2.0 mEq/L.d) serum calcium level of 9.9 mEq/L.A client with iron deficiency anemia is taking iron supplements. The nurse emphasizes to the client that the drug will have increased absorption if taken with: Question 6 options: a) Orange juice b) Food c) Milk d) Beta caroteneA nurse is assessing a client with suspected gout. Which of the following would support a diagnosis of gout? Select all that apply 1. Elevated serum uric acid level 2. A swollen, red joint 3. Reports of moderate fatigue 4. Distal extremities cool totoucho5. Pain associated with movement of the affected extremity 6. Intolerance of dairy products
- The nurse is evaluation the effectiveness of metaproterenol for... how do you know it’s been effective? A. Increased heart rate and blood pressure B. Decreased white blood cell count C. Decreased wheezing upon auscultation D. Decreased respiratory rateMake an NCP from the given scenario Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor. During the interview with the nurse, Aubrey mentioned that she has no known allergies. She said “I don’t think I have any problems with my health. I am lacto-ovo vegetarian. Most of the time I hang out with my friends for a tea or coffee. Although I think everything’s okay, I still would like to be…NEED HELP WITH #6 N.R. is a 49-year-old lumber worker admitted to the emergency department after a severe laceration of his left thigh. He lost about 4 units of blood prior to effective control of bleeding and closure of the wound. He received several hundred milliliters of normal saline during the procedure. Postsurgical clinical data are as follows: vital signs lying down, HR 115, BP 98/60, RR 28; sitting, HR 140, BP 92/62, RR 28; Hct 22, Hb 8, PaO2 90, SaO2 98% breathing room air. N.R. continues to have significant oozing from his sutured wound postoperatively, prompting his physician to order a coagulation screen that has the following results: platelet count 250,000, bleeding time more than 10 min, PT and aPTT within normal ranges. Discussion Questions In view of N.R.’s history and vital signs, do you think he is hypovolemic? Support your conclusion. Calculate N.R.’s arterial oxygen content (CaO2) using the following formula: CaO2 = (PaO2 × 0.003) + (Hb × SaO2 × 1.34). What…