You are caring for a patient who is to undergo gastrectomy to treat gastric cancer. What nutritional needs do you anticipate for this patient preoperatively, immediately postoperatively, and after discharge from the hospital?
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You are caring for a patient who is to undergo gastrectomy to treat gastric cancer. What nutritional needs do you anticipate for this patient preoperatively, immediately postoperatively, and after discharge from the hospital?
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- The nurse is providing education to the older adult with diverticulitis. The older adult asks why everyone in the assisted-living facility seems to have the same disorder. What should the nurse explain to this person? "This occurs because of insufficient activity in their lifetime" "It is a precursor to the development of colon cancer" "It happens due to the use of long term laxative use" "Weakening of the colonic muscle"A client with stomach cancer will receive nutrition via a tube that bypasses the stomach and goes directly into the jejunum. The nurse recognizes that the diet will need to be changed in which of the following ways? Question 28 options: a) Dietary protein will need to come from plant sources due to limited absorption b) The feed will contain di- and tri-peptides rather than whole proteins c) Proteins will require emulsification d) Conditionally essential amino acids will need to be added to the feedWhich important nutrition intervention can decrease hospital stays, reduce risk for in-hospital deaths and/or readmissions and improve quality of life? Question 16 options: a) Adding oral supplements to regular meal trays b) Providing protein- and vitamin-enriched foods on meal trays c) Providing individual specialized parenteral nutrition d) Ensuring proper tube placement for clients on enteral nutrition
- The nurse is conducting nutrition counseling for a patient with cholecystitis. Which of the following information is important to communicate? A. The patient must maintain a low-calorie diet. B. The patient must maintain a high protein/low carbohydrate diet. C. The patient should limit sweets and sugary drinks. D. The patient should limit fatty foods.Ms. Mellon is a 43year old woman who has lived in a Residential Habilitation Center from age 11 to 40. For the last three years she has been in a Tenant Support Program. This past year staff noticed that she had begun to lose weight. This became a concern because she had always been rather slender. Staff had encouraged her to eat more and had routinely prepared the foods she liked the most. Still, she was losing weight and was about 15 pounds below her ideal weight. At a staff meeting to discuss Ms. Mellon's food consumption, it was discovered that she was generally eating breakfast but not lunch or dinner. While lunches and dinners were always made and served to her, she often dumped the food in the garbage when staff members were not present. She also was not drinking much water and staff wondered if this was part of the problem. Because Ms. Mellon did not talk, staff could not find out why she wasn't eating more than breakfast. Staff decided to use the "Determine Your Nutritional…Ms. Gonzaga visits the outpatient center and tells the nurse that she wants to "stay healthy." The nurse observes that the client has diffuse neck enlargement, is perspiring, and is quite fidgety. The client tells the nurse that she is "hungry all the time, but I have lost weight." a. How did the nurse assessed the patient to arrive with such observations? b. What clinixal tests would you do on this patient?
- A new patient, Stanislaw Wisnewski, sought an intial consultation at your practice for laparoscopic cholecystectomy. He does not have insurance and needs to arrange a payment plan to pay the surgeon's fees, which total $840. The medical billing specialist worked with Stan to ensure that he would be able to pay; your office does not charge interest or finance charges for payment plans. Stan stated that he needed a payment plan/payments that would be less than $60 per month but that he wanted to pay at least $50 per month. 1. Devise a payment plan for Stan.A patient has been taking ibuprofen for the last several days but states that every time they take it, their stomach has gotten upset. What advice can the nurse give to help with the gastric irritation? take with coffee take with milk make sure to have on empty stomach take with grapefruit juicewhat 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.
- What are some high-fiber fruits and vegetables the nurse can suggest for the patient who is troubled with constipation?After Mrs. Shower’s CABG, she will be in the ICU for 4 to 6 days if there aren’t any complications. She will then be transferred back to the cardiac unit and stay a few more days before being discharged. As we discussed in class, nutrition education prior to the surgery is not appropriate as it is likely that the Patient will not be able to focus on the education. When she returns to the cardiac unit, you can obtain a detailed diet history for her usual intake at home: 1. Describe what nutrition education you will provide. 2. What are your goals for the education? 3. Describe the return demonstration you will ask Mrs. Showers to show that she understands the education.Which dietary selections should the client make who wants to reduce the risk of colon cancer? croissant, granola and peanut butter squares, whole milk. bran muffin, skim milk, steamed broccoli. granola, bagel with cream cheese, cauliflower salad. oatmeal raisin cookies, baked potato with sour cream, turkey sandwich.