Compare and contrast the care of clients with acquired hypothyroidism (Hashimoto’s disease). Gretchen is an 11-year-old who is short in stature but overweight. Keisha is a 31-year-old woman with a TSH level of 12 who wishes to become pregnant. Loretta is a 67-year-old woman with long-standing hypothyroidism. She currently takes levothyroxine once a day. Please include assessments (including diagnostic testing), care measures (including medications), and teaching needed for each client

Compare and contrast the care of clients with acquired hypothyroidism (Hashimoto’s disease). Gretchen is an 11-year-old who is short in stature but overweight. Keisha is a 31-year-old woman with a TSH level of 12 who wishes to become pregnant. Loretta is a 67-year-old woman with long-standing hypothyroidism. She currently takes levothyroxine once a day. Please include assessments (including diagnostic testing), care measures (including medications), and teaching needed for each client

Ebk:Nutrition & Diet Therapy

10th Edition

ISBN:9780357391747

Author:DEBRUYNE

Publisher:DEBRUYNE

Chapter13: Nutrition Through The Life Span: Later Adulthood

Section: Chapter Questions

Problem 1CA

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Compare and contrast the care of clients with acquired hypothyroidism (Hashimoto’s disease). Gretchen is an 11 year old who is short in stature but overweight. Keisha is a 31 year old woman with a TSH level of 12 who wishes to become pregnant. Loretta is a 67 year old woman with long standing hypothyroidism. She currently takes levothyroxine once a day. Please include assessments (including diagnostic testing), care measures (including medications), and teaching needed for each client. - did not match any documents.
Compare and contrast the care of a client with hyperthyroidism (Grave’s disease). Ember is an 11-year-old girl who recently developed restlessness and tremors after a viral illness. Anna is a 31-year-old woman who reports weight loss, restlessness, and increased perspiration. Karen is a 67-year-old woman with recent visual changes, new-onset atrial fibrillation, and weakness. Please include assessments (including diagnostic testing), care measures (including medications), and teaching needed for each client.
Wisam is a 80 year old male who remains relatively independent with ADLs. He does require help with preparing meals and taking care of the house, and so he moved into his daughter's home several years ago, after his wife passed away. He is active in his Orthodox Jewish community and attends synagogue weekly. He recently had a fall at home and has been admitted on your unit under your care. He is pleasant and understands why he needs to be in hospital at this time, although he mentions feeling disconnected from his usual routine. You notice when meal time comes, Wisam does not touch his food and just has the juice. This happens the whole shift; he refuses all 3 meals. Why might Wisam not be interested in his food? What can you do to ensure he has adequate nutrition?
A nurse is collecting data during a prenatal visit. What two (2) questions would be asked to identify maternal drug abstinence? 2. A nurse is reinforcing teaching with a pregnant client who is diagnosed with iron deficiency anemia and has been prescribed iron supplements. List a statement if made by the client would indicate an understanding of the teaching. 3. A nurse is caring for a newborn with hyperbilirubinemia who has been prescribed phototherapy. Identify three (3) interventions the nurse should institute for this client?
A patient has type 1 diabetes mellitus. What general guidelines must be met before this patient can receive insulin? What specific responsibilities does the nurse have when administering insulin, and who develops the standards of care that result in these guidelines?
Matthew is a 59-year-old diagnosed with Type II diabetes in the fall of last year. He presents today for follow up. His BS are better—he tells you that they are all still running a bit high—from 170-200 mg/dL—regardless of the time of day taken. He says his fasting BS is about 170 mg/dL. He is trying to follow his diet—and he feels like he has really come a long way in managing his diabetes. He states that when his NP diagnosed him, he was drinking about 4 liters of regular coke every day and eating junk food—his A1C at the time of diagnosis was 14 % Currently, his A1C is 8.0%. Other PMH is CAD, Dyslipidemia and Diabetic neuropathy. His current regimen of medications is: Metformin ER 1000 mg BID; ASA 325 mg daily; Lisinopril 10 mg daily Coreg 6.25 mg BID; Crestor 20 mg daily; Multivitamin [1] daily Vitamin D3 10,000 IU daily; Lyrica 50 mg at HS His CBC and electrolytes are normal; creatinine 1 mg/dL; [calculated GFR 115 cc/minute] thyroid function tests are normal. TC = 200…
what are some nutritional goals that nurses should aim for patient with gestational diabetes?
The nurse assists the patient with Diabetes, with nutritional therapy with the knowledge that a healthy eating plan is designed to: Select one: a. For use during periods of high stress b. To be used only for Type 1 Diabetes Mellitus c. To normalise blood glucose levels by elimination of sugar d. To help normalise blood glucose levels through a balanced diet
A nurse is caring for diabetic client with a prolonged illness. What is recommended for client with diabetes?
The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high-risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbor told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs, but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him. 1.…
The patient is a 65-year-old male with long history of type 2 Diabetes and obesity. He does not smoke. He had knee surgery 10 years ago but otherwise has had no other major medical problem. Over the years he has tried low glycemic diet and Aerobic exercise program to reduce his weight but has not been very successful. His granddaughter just started high school and he wants to see her graduate and go on college. He understands that his diabetes puts him at high-risk for heart disease and is frustrated that he cannot lose the necessary weight. His neighbor told him about a colleague at work who had his stomach stapled (Gastric or Bariatric surgery) and as a result not only lost over 100 lbs, but also “cured” his diabetes. In addition, one family member told him about intermittent fasting and Keto diet while other relative is regularly doing High-intensity interval training (HIIT). He wants to know which among those treatments or interventions would be the best option for him. What type…
Read the following case study. Rebekah is a 28-year-old married female. She has a very demanding, high-stress job as a second-year medical resident in a large hospital. Rebekah has always been a high achiever. She graduated with top honors in both college and medical school. She has very high standards for herself and can be very self-critical when she fails to meet them. Lately, she has struggled with significant feelings of worthlessness and shame due to her inability to perform as well as she always has in the past. For the past few weeks, Rebekah has felt unusually fatigued and found it increasingly difficult to concentrate at work. Her coworkers have noticed that she is often irritable and withdrawn, which is quite different from her typically upbeat and friendly disposition. She has called in sick on several occasions, which is completely unlike her. On those days she stays in bed all day, watching TV or sleeping. At home, Rebekah’s husband has noticed changes as well. She’s…