N2113_Module_2

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 mayo

Discuss the roles/functions of each member of the health care team in relation to nutrition based on the given situation.  Fill out the table provided. Situation:  A 45-year-old male stroke patient with right-sided paralysis is admitted to a hospital for nutritional build-up. History revealed that the patient is a former clerk in a law firm and is right-handed.              Health Care Team Member   Role/Function in Relation to Nutrition 1.  Health Care Provider  (Physician/Doctor)   2.  Nurse   3.  Social Worker   4.  Physical Therapist   5.  Occupational Therapist   6.  Speech-Language Therapist   7.  Pharmacist   8.  Registered Nutritionist and Dietitian

The client performs self- peritoneal dialysis. What should the nurse teach the client about preventing peritonitis? Select all that apply. Broad-spectrum antibiotics may be administered to prevent infection. Clean technique is permissible for prevention of peritonitis Peritonitis is characterized by cloudy dialysate drainage and abdominal discomfort. Antibiotics may be added to the dialysate to treat peritonitis.

Answer all four questions. The topic is Nutrition Counseling and Dietary Instructions. Note: Make your own choices on what the final diagnosis of the patient so that you will know the diet instructions. Who are qualified to provide dietary instructions What are the preliminary data needed for diet instructions? How will you obtain the preliminary data? How will you prepare the dietary instructional materials.

Background Story: Margaret was taken to her doctor because of her breathing problem when sleeping. Her doctor diagnosed her with sleep apnea related to her weight and referred to the registered dietitian for nutrition counselling.   Personal Information:   Name: Hufalar, Margaret G.   Gender: Female   Height: 5’4"   Weight: 175 lbs   Doctor’s Diagnosis: Obstructive sleep apnea (OSA) secondary to obesity and physical inactivity   Nutrition:   General: Very good appetite with consumption of a wide variety of foods. Margaret’s physical activity level is generally low. She discontinued physical activities for five years now. She likes playing video games and reading.   Sample of 24-hour meal recall:   Breakfast: 4 servings of pancakes (4 inches across, 1/4 inch thick), 8 oz whole milk, 4 oz apple juice   Lunch: 2 burrito and cheese sandwiches (2 slices of white bread, 1 oz. mozzarella, 1 tbsp mayonnaise each) 1-oz pkg potato chips, 8 oz whole milk   After school snack: Peanut butter and…

The perioperative nurse is providing care for a patient who is recovering on the postsurgical unit following a cholecystectomy. The patient has not started ambulating and states he needs to rest in bed. For what complication is the client most at risk? atelectasis shock anemia dehydration

MAKE AN SCIENTIFIC AND SITUATIONAL ANALYSIS OF THE SAID DX. dx: Imbalanced nutrition related to lack of knowledge about diet SCENARIO (for reference):  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…

A 35-year-old man was brought to the Accident and Emergency Department (A/E) by his wife with complaints of abdominal pain and diagnosed with pancreatitis. His family history shows that he is married and has two children aged 8 years and 3 years While completing the nursing admission assessment, he tells the nurse that he drinks "a couple of cases of beer each week" He states his last drink was this morning. While doing rounds, the evening shift nurse notices that he has tremors and is very anxious and 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 notified Daily folic acid and thiamine, and lorazepam as needed, are prescribed Discussion How would you carry out the different roles of a nurse as stated below? Care giver Teacher Advocate Change agent Communicator

A patient has a fecal impaction. The nurse correctly adminis-ters an oil-retention enema by: a. Administering a large volume of solution (500–1,000 mL)b. Mixing milk and molasses in equal parts for an enemac. Instructing the patient to retain the enema for at least30 minutesd. Administering the enema while the patient is sitting onthe toilet

The nurse is helping the client develop a meal plan based on 2000 calorie MyPlate plan. Which of the following menus shows the client understands the plan? 1 cup raspberry flavored yogurt with 1 tsp flax seeds, 2 sliced toasted sourdough bread with 1 tsp canola margarine, 1 cup coffee with creamer 1 cup plain yogurt with fresh strawberry slices, 1 hard-boiled egg, 1 cup herbal tea, 1 slice 8 grain toast 2 cups oatmeal with 2 tbsp brown sugar, ½ cup raisins and 1 cup whole milk, 1 cup hot tea with 1 tsp honey 2 cups Rice Krispies with 1 cup low fat milk, 1 cup sliced strawberries with 1 tsp sugar, 1 slice whole wheat toast with 1 tsp butter and grape jelly, 1 cup coffee black

what is the FOCUS documentation of the following senario? Mr. Smith is one day post-operative (Post-up) abdominal surgery. He complains of (c/lo) "severe pain" to his abdomen and rates his pain level as an 8 on a scale of 1-10. he is grimacing. His heart rate is 92. The nurse administers morphone sulfate 4mg IV. The nurse evaluates Mr. Smith's pain after administering the morphine sulfate. Mr. Smith says his pain has decreased and now rates his pain level as a 2. HE is no longer grimacing and his heart rate is 72.

A nurse is teaching a patient with frequent constipation how to implement a bowel-training program. What is a recom-mended teaching point? a. Using a diet that is low in bulkb. Decreasing fluid intake to 1,000 mLc. Administering an enema once a day to stimulate peristalsisd. Allowing ample time for evacuation

The nurse is preparing to administer prescribed medications to a client with a gastrostomy tube (GT). Which medication is not appropriate to administer through a GT? O Liquid suspension O Capsule O Gel tab O Extended-release tablet

Mr. Emad is a 35-year old newly married patient. He visited a healthcare facility complaining of epigastric discomfort. He was diagnosed with gastroesophageal reflux. Mr. Emad had been using an antacid for immediate relief of his epigastric discomfort. He was prescribed cimetidine and was referred to the nursing patient teaching and care. Prepare a nursing care and a teaching guide for Mr. Emad. The guide should include Assessment: History and Examination, Nursing Diagnoses, Implementation, Evaluation, and Patient Teaching.

Question : what is the smart goal of nursing for small bowel obstruction?

A nurse is assessing a client who has acute pancreatitis. Which of the following findings should the nurse expect?A.HypertensionB.Hyperactive bowel soundsC.Peripheral edemaD.Periumbilical discoloration

The nurse teaching a patient about a high protein diet. The nurse determines additional teaching is required when the patient chooses what from the menu? O turkey and cheese sandwich, and low fat yogurt O baked salmon, lima beans, and custard O Peanut butter and jelly sandwich, chips, and fruit drink O grilled chicken salad with avocado and skim milk

CASE: PEPTIC ULCER DISEASE Chief complain: Mr. Garcia, a 57-year-old man, was admitted yesterday after he began passing black stools. He has a two-day history of severe stomach pains and has had indigestion on and off for several months. He undergoes an endoscopy this morning and has been newly diagnosed as having a bleeding duodenal ulcer. His doctor discharge him the same day and was given with a discharge medication order. Answer the following: 4. Following a review of the discharge medication order, the following are prescribed: enalapril 5 mg twice daily,omeprazole 20 mg twice daily, and furosemide 40 mg daily. It was documented that Naproxen should bediscontinued. What is the reason for this? 5. Will you recommend Mr. Garcia the use of antacids for his ulcer? 6. Considering the medical history of Mr. Garcia, below are some options that you can recommend to the doctor as a replacement for Naproxen, for his arthritis. Discuss which of the given will be suitable.• Paracetamol +…

Health Care Problems Therapeutic Goal Therapeutic Recommendation Rationale Peptic Ulcer       Irritable Bowel Syndrome       Grave’s Disease       Chronic Renal Dysfunction       Iron deficiency Anemia

Ptient has obstructive sleep apnea, secondary to obesity and physical inactivity. Create a 1-day breakfast and lunch meal for the patient and provide reason why each food helps to improve health.

Case Scenario: You are assigned to care for an 11-year-old client with gastrointestinal bleeding. The client already has an NGT inserted for gastric decompression. The doctor ordered for a diagnostic procedure to be done and to do gastric lavage to prepare the client. 1 Liter of cold PNSS was ordered as the irrigating solution. As a nurse assigned: 1. What assessment would be observed from the patient? 2. As you have performed gastric lavage, create an FDAR charting for this patient. DATA, ACTION DATE/ TIME FOCUS and RESPONSE

Health Care Problems Therapeutic Goal Therapeutic Recommendation Rationale         Irritable Bowel Syndrome       Grave’s Disease       Chronic Renal Dysfunction       Iron deficiency Anemia

GASTROINTESTINAL SYSTEM: Mhiema Mou, 14 years of age, presents to the clinic for an annual checkup. Nurse Roque updates the patient’s history by asking her if she has had any gastrointestinal pain associated with meals, at rest, or with activity, or with having a bowel movement. Nurse Roque also asks the patient if she has had any unexplained weight loss or weight gain since her last annual checkup. Nurse roque asks the patient if she has had any changes in her bowel habits or changes in the usual stool characteristics. The patient stated she has had no such problems. Nurse Roque works in the gastrointestinal (GI) lab, in which many endoscopies (with contrast dye) and scope procedures are done. What age-related considerations should the nurse utilize when performing the focused physical assessment for the gastrointestinal system? What are considerations prior admission of client for contrast dye GI series? What are consideration that the nurse should anticipate before, during, and…

Document the following senario using SOAPIE documentation Mr. Smith is one day post-operative (Post-up) abdominal surgery. He complains of (c/lo) "severe pain" to his abdomen and rates his pain level as an 8 on a scale of 1-10. he is grimacing. His heart rate is 92. The nurse administers morphone sulfate 4mg IV. The nurse evaluates Mr. Smith's pain after administering the morphine sulfate. Mr. Smith says his pain has decreased and now rates his pain level as a 2. HE is no longer grimacing and his heart rate is 72.

Which dietary instruction should the nurse include when teaching a client how to reduce episode of Raynaud syndrome

In Medical Care and Emergency Treatment ,Complete the following table Case / Situations Definitions Materials Needed Proper Management & Treatment Additional Remarks Earache, toothache, and sore troat         Abdominal pain         Vomiting and diarrhea