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- 6. Nurse Jamie is administering the initial total parenteral nutrition solution to a client. Which of the following assessments requires the nurse’s immediate attention? A. Temperature of 37.5 degrees Celsius. B. Urine output of 300 cc in 4 hours. C. Poor skin turgor. D. Blood glucose of 350 mg/dl.41. A newborn with esophageal atresia has just returned from surgery to place agastrostomy tube. Which nursing diagnosis will the nurse use to plan the care for thisclient?A. Risk for imbalanced nutritionB. Risk for deficient fluid volumeC. Risk for impaired thermoregulationD. Risk for ineffective gas exchangeHC is a 42-year-old male with hypertension (his average systolic/diastolic blood pressure is 147/92 mm Hg), who is referred to the outpatient clinic. Dietary recall shows that he consumes highly processed foods with added salt such as processed meats, canned foods, salty snacks, and he does not consume adequate amounts of fresh vegetables and fruits. d. What is the recommended optimal dietary intake for sodium and potassium for HC? e. What would be the major specific recommendations to modify HG’s current diet to improve management of hypertension? How would your dietary modification recommendations affect his intake of sodium and potassium?
- MAKE AN ANALYSIS OF THE SAID DX. dx: Imbalanced nutrition related to lack of knowledge about diet 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…5. Morphine sulphate is administered every four hours to a client with renal lithiasis to treat pain and renal colic. Which evaluation result should cause the nurse to provide a PRN dosage of naloxone? A. Unresponsive to verbal or tactile stimuli. B. Respiratory rate of 12 breath/minute. C. Statements about visual hallucinations. D. Complaints of increasing flank pain.2. A 2-year-old child is receiving temporary total parenteral nutrition (TPN) through a central venous line. This is the first day of TPN therapy. Although all of the following nursing actions must be included in the plan of care of this child, which one would be a priority at this time? A. Use aseptic technique during dressing changes. B. Maintain central line catheter integrity. C. Monitor serum glucose levels. D. Check results of liver function tests.
- The MVV in normal healthy men ages 20 to 30 years is A. 60 L/min B. 100 L/min C. 170 L/min D. 240 L/minMeasure the Intake and Output of Mr. De la Cruz for the 8-Hour shift and give conclusion if Intake & Output is proportionate or not. Mr. dela Cruz is a 67 year old male who has been admitted to the Medical ICU with a diagnosis of congestive heart failure (CHF). He is intubated and attached to a ventilator, with nasogastric tube attached at the L nostril, intravenous fluid (IVF) of D5 LR 1L x 12 hours, and foley catheter draining to a pale straw urine. He is monitored hourly for his vital signs as well as intake & output. Nurse Tina was assigned to take care of Mr. Dela Cruz and the following tasks transpired during her morning shift: After endorsement, Nurse Tina made her rounds to check on Mr. Dela Cruz. She took his vital signs, level of consciousness. His present IVF has a remaining amount of 600 cc & regulated the desired rate. She prepared the medications and osteorized tube feeding (OTF) all due at 8 am. She fed Mr. Dela Cruz with 200 ml of OTF and instilled 50 ml of…A nurse is preparing a family for a terminal weaning of a loved one. Which nursing actions would facilitate this pro-cess? Select all that apply. a. Participate in the decision-making process by offering the family information about the advantages and disadvan-tages of continued ventilatory support. b. Explain to the family what will happen at each phase ofthe weaning and offer support.c. Check the orders for sedation and analgesia, making surethat the anticipated death is comfortable and dignified. d. Tell the family that death will occur almost immediatelyafter the patient is removed from the ventilator.e. Tell the family that the decision for terminal weaning of apatient must be made by the primary care provider.f. Set up mandatory counseling sessions for the patient andfamily to assist them in making this end-of-life decision.
- Measure the Intake and Output of Mr. De la Cruz for the 8-Hour shift and give conclusion if Intake & Output is proportionate or not. Case Application: Measuring Intake & Output Mr. dela Cruz is a 67 year old male who has been admitted to the Medical ICU with a diagnosis of congestive heart failure (CHF). He is intubated and attached to a ventilator, with nasogastric tube attached at the L nostril, intravenous fluid (IVF) of D5 LR 1L x 12 hours, and foley catheter draining to a pale straw urine. He is monitored hourly for his vital signs as well as intake & output. Nurse Tina was assigned to take care of Mr. Dela Cruz and the following tasks transpired during her morning shift: After endorsement, Nurse Tina made her rounds to check on Mr. Dela Cruz. She took his vital signs, level of consciousness. His present IVF has a remaining amount of 600 cc & regulated the desired rate. She prepared the medications and osteorized tube feeding (OTF) all due at 8 am. She fed Mr. Dela…A 30-year-old female client is diagnosed with diabetes insipidus resulting from head trauma. The client exhibits polyuria and complains of extreme thirst. Urine is dilute with a specific gravity less than 1.006. The healthcare provider prescribes the administration of vasopressin nasal spray. How should the nurse care for a client with diabetes insipidus who is receiving vasopressin therapy? 32. A 55-year-old male client admitted to the healthcare facility complains of excessive thirst, urination, hunger, and numbness and tingling in the extremities. His fasting plasma glucose levels obtained on two different occasions are 136 mg/dL and 145 mg/dL. A diagnosis of type 2 diabetes is made. a. What data would the nurse need to gather before preparing a dietary plan for this client?b. What instructions should the nurse provide to the client regarding dietary restrictions? 123. The wife of a 48-year-old diabetic client, who was discharged from the healthcare facility a week ago, calls the…Answer the questions by referring to the prescription and the drug above:6. What is the weight of the patient in kilograms? 7. How many milligrams of Drug X does the patient require per day? 8. How many milliliters of the 1.3 mg/mL solution will be required to complete the prescribed regimen? 9. How many 50-mL vials of Drug X should be dispensed to the patient for the 3-day course? 10. At what rate, in drops per hour, should Drug X be infused continuously for 3 days in a drip set that delivers 60 drops to the mL? with complete solution please:(