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- 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 exchange"Flurazepam, Zaleplon, Zolpidem"- Among these drugs, are dose adjustment require in moderate to severe hepatic impairment or renal impairment? Please answer at your own easy words.Question 11 Explain why it is not always a good idea for an elderly person to lose weight, even if they have a high BMI? Be specific and use terms associated with topics we have covered in class.
- Order: Seroquel 200 mg PO BIDAvailable: Seroquel 50 mg tabletsWhat does BID mean? How many mg will the nurse administer per dose? How many tablets will the nurse administer per dose?Signature Assignment: End Stage Kidney Disease Case Analysis The goal of this assignment is to show that you understand the importance of the liver, pancreas, and kidneys in the proper functioning of the human body. Sarah, a 63-year-old female with a past medical history significant for diabetes mellitus, cirrhosis, gout, and a 30-pack a year smoking history, presents to the emergency room with chest pain revealing pericarditis in the echocardiogram, secondary to recently diagnosed end-stage renal disease. Physical examination reveals yellowish discoloration to the skin and sclera, multiple bruises, and 2+ bilateral edema. Sarah reports weakness lasting more than three weeks. Her medications include Glisten, a new drug for diabetes that causes ATP sensitive potassium channels to close, thereby releasing insulin. Her recent laboratory results are as follows: CBC Sodium 126 mEq/L Glucose 220 mmol/L Calcium 7.1 mg/dl Red blood cell count 3.9 cells / ul…Case Scenerio A.B. is a retired 69-year-old man with a 5-year history of type 2 diabetes. Although he was diagnosed in 2015, he had symptoms indicating hyperglycemia for 2 years before diagnosis. He had fasting blood glucose records indicating values of 118–127 mg/dl, which were described to him as indicative of “borderline diabetes.” He also remembered past episodes of nocturia associated with fast foods- pizzas and KFC. At the time of initial diagnosis, he was advised to lose weight (“at least 10 lb.”), but no further action was taken. Referred by his family physician to the diabetes specialty clinic, A.B. presents with recent weight gain, suboptimal diabetes control, and foot pain. He has been trying to lose weight and increase his exercise for the past 6 months without success. He had been started on glyburide (Diabeta), 2.5 mg every morning, but had stopped taking it because of dizziness, often accompanied by sweating and a feeling of mild agitation, in the late afternoon. He…
- The nurse is teaching a client about diet changes due to his recent cholecystectomy with emphasis on low-fat choices. Which of the following is an example of a good menu for the client? ½ cup of sweet potatoes with marshmallows, 1 cup of steamed broccoli, 1 cup cornbread dressing, 4 oz ham 1 cup sweet potatoes, 1 cup steamed collard greens, 3 oz wild rice, 3 oz ham 5 buffalo sauce coated chicken wings, 1 cup mashed potatoes with 1 tsp butter and sour cream, 2 cups green salad with lettuce, carrots, tomatoes, onions, radishes, bell peppers, and 2 tbsp oil and vinegar dressing 1 hamburger bun with sesame seeds, 4 oz hamburger patty fried, 1 slice each American cheese, onion, tomato, and lettuce, 1 tbsp ketchup and mayoCase Study Information: A 60 year old female has had surgery to remove an adrenal carcinoma (cancerous tumor of the adrenal gland). Her current body weight is 64 kg. She is 168 cm. Her calculated protein needs are 81 g/day. The patient has been NPO on IV fluids and electrolytes for 4 days. Vital signs are stable. GI motility is apparent. The physician recommends tube feeding, and recommends Nutren ®1.0 as the formula of choice. Below is the product information for this formula. Product Concentration Protein Carbohydrate Fat Osmolality % Free Water Nutren® 1.0 1.06 kcal/ml 16% kcal 51% kcal 33% kcal 330 mOsm/L 85% Calculate the patient’s energy needs for weight maintenance (total energy expenditure) using her current body weight. The Mifflin St. Jeor equation for women is: RMR= 10 x wt (kg) + 6.25 x ht (cm) – 5 x age (yrs) - 161 Assume a stress factor of 1.4 Calculate the patient’s daily fluid requirements using the kcal per mL method. Determine how many mL of formula will…Orders arrived at the same time on the following patients: Halann Burger: UA with C&S Suzie Que: Theophylline peak and trough, oral dose - slow release prep, 3.75 hours ago Phishan Chipps: CBC STAT Schweet Cheeks: Fasting glucose How will you prioritize the patients listed above and why
- Case study diabetes mellitus Eric is a 52-year-old High school principal, who presented with a 2-week history of polyuria, polydipsia, polyphagia, weight loss, fatigue, and blurred vision. A random glucose test performed 1 day before presentation was 352 mg/dl. The patient denied any symptoms of numbness, tingling in hands or feet, dysuria, chest pain, cough or fevers. He had no prior history of diabetes and no family history of diabetes. Admission of non-fasting serum glucose 248 mg/dl (N=<180 mg/dl), HbA1c 9.6% (N=4-6.1%). Electrolytes, BUN and creatinine were normal. Physical examination revealed weight of 180 pounds, height 5'5.5" (IBW 140-145). The rest of the examination was unremarkable,i.e., no signs of retinopathy or neuropathy. The patient was taught self-monitoring of blood glucose and began on 5 mg glyburide once a day. He was instructed in diet (1800 cal ADA). Blood glucose levels ranged from 80 to120 mg/dl within 2 weeks of starting glyburide, his symptoms…#Answer must How should the nurse respond to the patient who says it is hard to know what to believe when there are so many sources of information about nutrition?.PLANNING EXERCISES: WRITING GOALS/DESIRED OUTCOMES, NURSING INTERVENTION with SCIENTIFIC RATIONALE Instructions: For each nursing diagnosis (given the scenario), write an appropriate goal with desired outcome, and nursing interventions with corresponding scientific explanation or rationale. Joe Johnson has experienced intermittent nausea for approximately 6 months because of a possible gastric ulcer. He states, “I know I should eat, but when I eat, I hurt.” He has lost 28 pounds since his last annual check-up and weighs less than ideal for his height. His nurse identifies the nursing diagnosis: Imbalanced Nutrition: Less Than Body Requirements related to inability to ingest nutrients as a result of biological factors as evidenced by reported food intake less than recommended daily allowance and weight loss of 28 pounds over the past year.