A 35-year-old man was brought to the Accident and Emergency Department (A/E) byhis wife with complaints of abdominal pain and diagnosed with pancreatitis. His familyhistory shows that he is married and has two children aged 8 years and 3 years Whilecompleting the nursing admission assessment, he tells the nurse that he drinks "acouple of cases of beer each week" He states his last drink was this morning. Whiledoing rounds, the evening shift nurse notices that he has tremors and is very anxiousand restless His vital signs are blood pressure 130/82 mm of Hg, pulse rate 88bpm,respiratory rate 16bpm, and temperature 99 68F (37 58C) The physician is notifiedDaily folic acid and thiamine, and lorazepam as needed, are prescribedDiscussionHow would you carry out the different roles of a nurse as stated below?Care giverTeacherAdvocateChange agentCommunicator

A 35-year-old man was brought to the Accident and Emergency Department (A/E) by his wife with…

Answered: A 35-year-old man was brought to the…

Ebk:Nutrition & Diet Therapy

10th Edition

ISBN:9780357391747

Author:DEBRUYNE

Publisher:DEBRUYNE

Chapter18: Fiber-modified Diets For Lower Gastrointestinal Tract Disorders

Section: Chapter Questions

Problem 1CA

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. A 65-year-old man is evaluated in the clinic due to several months of abdominal pain and vomiting. The pain starts 2 to 3 hours after meals, is characterized as crampy, and is often associated with bilious vomiting. Contrast-enhanced CT scan of the abdomen shows an irregular mass in the third portion of the duodenum that is infiltrating beyond the gut wall. If this mass continues to enlarge, which of the following structures is most likely to be compromised in this patient? Ureter Common bile duct Gastroduodenal artery Superior mesenteric artery Portal vein
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A 56-year-old male patient who has COPD is refusing to eat.Which intervention would be most helpful in stimulating hisappetite?a. Administering pain medication after meals.b. Encouraging food from home when possible.c. Scheduling his respiratory therapy before each meal.d. Reinforcing the importance of his eating exactly what isdelivered to him.
During my clinical rotation in the emergency department, Imet Grace Gilligan. She was a 28-year-old woman who cameto the emergency department with complaints of severeepisodes of nausea and vomiting over the last 48 hours. She has a past medical history of Crohn’s disease, a gastrointes-tinal (GI) problem for which she underwent bowel resection surgery 1 month ago. “I thought the surgery would help myproblems.” The patient was dehydrated and needed IV fluidtherapy.My co-assigned nurse attempted to start a peripheralvenous access not once, but six times. The patient was already upset by her recurrent abdominal symptoms, butnow had to deal with the continuous painful stick of aneedle. During the course of attempts to start the IV, thepatient stated that a nurse on the IV team always had to becalled to insert her IVs. Although my nurse acknowledgedthe information, she continued trying to start the IV. Finally,on the sixth try, as the patient was in tears, the nurse wassuccessful. It…
what the nursing care plan of the following scenario? Ms. Dela Cruz, 25 years of age, presents to the triage nurse at the local emergency department complaining of severe generalized abdominal pain. She describes it as sharp and intermittent. She states, “Over the last four (4) days, I haven’t been able to have a bowel movement.” She states that she is able to drink liquids and urinates without difficulty. Bowel sounds are present in all four (4) quadrants, however, they are hypoactive (decreased or quiet peristalsis). Abdomen is distended and firm to touch. She states, “Two weeks ago I feel that my back hurts. My doctor gave me a prescription of Tylenol #3 and I have been taking it every 6 hours for pain.” She denies pain at the present time. Abdominal x-ray reveals a large amount of stool in her lower colon. All other diagnostic tests are unremarkable.
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A.S , 50 y.o male, presents to her family physician with a 3 month history of back painHISTORYPMH : Patient states that she has enjoyed excellent healthMother and brother have been diagnosed with Type 2 Diabetes MellitusFamily history negative for heart disease / hypertensionOn Metformin (decreases hepatic glucose productionSocial History : Married with three children - ages 20, 15, and 10, driver, denies smoking or use of drugs . Inactive lifestyleDiet History:Estimate energy intake of approximately 2800 kcal/day with approximately 1400 kcal from carbohydrates .Patient states that he consumes sandwich with sweetened pop (24 oz)-as Dinner, ice cream and chocolate candy dailyANTHROPOMETRICSHeight 5’9’’Current Weight 225 #Usual weight 200 # ( for the past five years )Lowest adult weight was 170 pounds at the age of 25Waist Circumference 54 inchesPHYSICAL EXAMINATIONBlood Pressure 130/85 mm HgReview of systems normalLABORATORY VALUES…

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