Please explain to AM’s daughter why low vitamin B12 status can be common among older adults even when they consume more than the DRI. Please explain to AM’s daughter why AM’s physician should be notified before AM takes any additional supplements.
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AM is a 78-year-old female with diagnoses of hypertension, glaucoma, osteoporosis, dementia, and history of surgery for hip fractures after a recent fall. She was transferred to a nursing home for rehabilitation after hospitalization for the hip surgery. She is taking multiple prescription medications for her health conditions. The physician ordered labs recently and just added a new prescription for vitamin B12 due to vitamin B12 deficiency. As the nurse in charge of AM’s care, you called AM’s daughter to report a significant weight loss of 8 lbs. since her admission a month ago as well as the new supplement order for vitamin B12. AM’s medical record showed she has poor dentition and average food intake of 50% of her food. AM’s daughter stated AM used to eat everything and was never picky when younger. She also said she plans to bring some supplements that were said to “boost energy” when she visits next week.
Please explain to AM’s daughter why low vitamin B12 status can be common among older adults even when they consume more than the DRI.
Please explain to AM’s daughter why AM’s physician should be notified before AM takes any additional supplements.
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- AM is a 78-year-old female with diagnoses of hypertension, glaucoma, osteoporosis, dementia, and history of surgery for hip fractures after a recent fall. She was transferred to a nursing home for rehabilitation after hospitalization for the hip surgery. She is taking multiple prescription medications for her health conditions. The physician ordered labs recently and just added a new prescription for vitamin B12 due to vitamin B12 deficiency. As the nurse in charge of AM’s care, you called AM’s daughter to report a significant weight loss of 8 lbs. since her admission a month ago as well as the new supplement order for vitamin B12. AM’s medical record showed she has poor dentition and average food intake of 50% of her food. AM’s daughter stated AM used to eat everything and was never picky when younger. She also said she plans to bring some supplements that were said to “boost energy” when she visits next week. Please describe to AM’s daughter some of the physiological changes of…S B is a 54-year-old Latina female who went to her healthcare provider with complaints of heartburn, dysphagia, nausea, and chest pain. She feels bloated and obtains little or no relief from over-the-counter antacids. Her past medical history includes 2-pack-a-day cigarette smoking, stressful job, and chronic use of NSAIDs for chronic back pain. 2. What teaching would the nurse provide the client who is scheduled for an EGD? 3. What are nursing considerations that should be addressed to the client with a diagnosis of GERD?A 33-year-old male patient visits his primary care physician complaining of right buttock and right leg pain with no known injury. He is employed as a long-haul truck driver and is healthy. Upon examination by a neurosurgeon, the patient exhibits normal range of motion except when raising his right leg that causes sharp pain. The surgeon orders an MRI that shows an L4-L5 herniated disc. The patient is scheduled for a lumbar discectomy. What are the possible complications associated with surgery on the lumbar spine?
- A client who is obese reports severe pain and is unable to bear weight in the right ankle after making dietary changes 3 weeks ago for weight loss. The client's medical history includes hypertension, gouty arthritis, and cholecystitis. Which instruction should the nurse include in the discharge teaching? Use electric healing pad when pain is at its worse Limit use of mobility equipment to avoid muscle atrophy Eat high protein foods to achieve ideal body weight Return for periodic liver function studiesa fair-skinned client who is an avid runner is diagnosied with malignant melanoma, which is located on the lateral surface of the lower leg. After wide margin reaction, the nurse provides discharge teaching. it is most important for the nurse to emphasizee the need to observe for changes in which characteristicA 56 year old man with history of diabetes, stroke, and hypertension presents to the Emergency Room with a laceration to his forehead after a fall. Patient says he woke up in the morning and walked to the bathroom to get ready as usual for work. His spouse, who was with him during the episode, stated that the patient said he felt lightheaded, and hit the edge of the bed as he fell to the floor. There was some shaking of both arms and legs with unresponsiveness for about 5 seconds and the patient awoke quickly. Upon awakening, the patient complained of pain where he hit his head. He was able to answer questions and seemed back to his baseline. On arrival to the emergency room, he is awake and his neurological exam is intact. He denies any headache except for tenderness in the forehead. His brain scan shows only a scalp hematoma with no intracranial hemorrhage and an old infarct in the right basal ganglia. His labs and electrocardioagram are all within normal limits except an elevated…
- The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What criteria will the nurse use to select printed educational materials for the clients use?The nurse is visiting a 75-year-old client in the home. The client has type 1 diabetes mellitus, hypertension, and osteoarthritis in both knees. The client's sight is moderately, impaired despite the use of eyeglasses. The client's medication regimen includes Humulin insulin (70/30) (combination insulins), 35 units subcutaneously in the morning, lisinopril (Prinivil) 5mg by mouth daily, and celecoxib (Celebrex) 100mg by mouth daily.What are two important medication administration safety issues that the nurse will assess in the client?What should be the nurse’s response to the patient with this condition, keeping in mind the various developmental stages of growth and development. Andy, a five-year-old child who is physically challenged is having difficulty walking without help.
- 1. The nurse is conducting health screening for osteoporosis. Which client is at greatest risk for developing this disorder?do it Question 21 options: a) A sedentary 65-year-old woman who smokes b) A 70-year-old man who consumes excess alcohol c) A 25-year-old woman who runs d) A 36-year-old man who has asthmaAn 82-yr old female was admitted to the orthopedic unit with a righ hip fracture, sustained from a mechanical fall at home. Daughter at the bedside states, " She has a history of osteoporosis." Patient has been taking alendronate, and calcium/vitamin D supplements. History also suggests that she has diabetes(type 2). Daughter states, " She isn't on any insulin, but takes pills to control her sugar." She depends on her daughter, neighbors, and church group to help her with transportation, errands, etc. She is ADL independent. No history of dementia. She is status post open reduction internal fixation fixation (ORIF) of the right hip. AAOx2. Vitals: T100.3, P92, R14, BP 166/90, SPO2 95 (on 2L NC). Breath sounds clear to auscltation. Bowel sounds hypoactive to all 4 quadrants. Noted dressing to lateral aspect of right hip. No noted edema on palpation. Diminished pedal pulses to left lower extremity, no palpable pulse to right lower extremity. Skin is warm to touch on left Low Extremity,…You are a nurse preparing to receive a new patient, fresh from surgery to your unit. The patient is a 71-year-old man who underwent a surgical repair of a fractured femur. As you receive a report from the postanesthesia recovery unit, you learn that his medical history includes hypertension, 40 pack-years of smoking, and COPD. His surgical repair was successful but complicated by excessive bleeding, and he is receiving IV fluids to compensate. He is widowed, and his three children are scattered throughout the United States. He lives alone, receives Meals on Wheels, and pays a cleaning service to keep his home clean. What general outcomes would you expect to establish from this information?