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Q: BASED ON THE ANALYSIS WHY THE NUTRITIONAL METABOLIC PATTERN OF THE PATIENT IS DEVIATION FROM NORMAL?
A: Nutrition and metabolism pattern is one of Gordon's 11 functional health patterns. Gordon's 11…
Nutritional
Interpretation: DEVIATION FROM NORMAL
Analysis: The client does not take any supplements. She consumes 5 glasses of water a day, which is not adequate enough and may lead to risks of fluid volume deficit. The patient's weight is constant and does not fluctuate. The patient's food intake involves a balance between carbohydrates, iron-rich food, and fruits and vegetables. Every day, she has breakfast, lunch, and dinner. The patient eats the most during lunch and least during dinner. The client does not experience any difficulties when eating.
*EXPLAIN: BASED ON THE ANALYSIS WHY THE NUTRITIONAL METABOLIC PATTERN OF THE PATIENT IS DEVIATION FROM NORMAL?
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- TO DO: Make an analysis and interpretation of the Nutritional-Metabolic pattern of the patient below: ANALYSIS: (explanation of the said findings below, analysis) INTERPRETATION: (NORMAL OR DEVIATED FROM NORMAL) Patient details: Conscious about food intake and skipping meals every time (most of the time he only eats dinner in a day) Not well nourished because skipping meals Not immunized with 7 target diseases Conscious about his weight, feel anxious when he gains weight, and he does feel scared when other people tell him fat when he already knows. Allergic to having the stench or taste of fish Low intake of vegetable and fruits (1-2 per week only) Has diet restrictions of 1000-1500 calories per day Not immunized with 7 target diseases Poor diet because of skipping mealsPatient C., 32 y/o, was delivered unconscious to the intensive care department. The patient has a medical history of diabetes. Insulin was not found. The breathing is noisy, of Kussmaul’s type; acetone breath, the skin is dry, turgor is lowered, the facial features are sharp, periosteal reflexes are absent, eye ball tone is lowered. Blood contains 1.2 mmol/l of lactic acid (norm - 0.62-1.3 mmol/l), glycemia - 29 mmol/l. What kind of coma can be suspected?A. KetoacidoticB. Brain comaC. HyperosmolarD. HypochloremicE. LactacidemicSubjectiveChief Complaint: “I was recently diagnosed with possible diabetes and would like to have my blood sugar tested. I think that my blood sugar is running low because I have a terrible headache.” HPI: Sarah Martin is a 43-year-old woman who comes to the pharmacy for a diabetes education class taught by thepharmacist. She would like for the pharmacist to check her blood sugar before the class begins. She was diagnosed with diabetes mellitus Type 2 about 6 months ago. She has been attempting to control her disease with diet and exercise but has had no success. Her physician has recently started her on glyburide 5 mg. She has gained 15 lb. over the past year. She monitors her blood sugar once a day, per her physician, with a range of 215–260 mg/dL. Her fasting blood sugars average 170 mg/dL. PMH: Type 2 DM × 6 months, HTN × 15 years, bipolar disorder × 25 years, Dyslipidemia × 10 years, Morbid obesity × 15 yearsFH: Father has a history of HTN and bipolar disorder. The mother has a…
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- diuretic, ~electrolyte, ~hyper/hypokalemia ~hyper/hyponatremia List foods choices high in potassium 2. List a few basic nursing interventions required when a client receives either a diuretic or a potassium replacement 3. Describe what milli-equivalents (mEq) denotes 4. Identify common fat and water soluble vitamins and minerals 5. Describe the value of taking iron/calcium and other vitamin supplements and specific patient teaching criteria regarding taking them.Instructions: Use the information below to create a full and detailed care plan Merlyn Chapman, a 27-year-old sales clerk, reports weakness, malaise, and flu-like symptoms for 3–4 days. Although thirsty, she is unable to tolerate fluids because of nausea and vomiting, and she has liquid stools 2–4 times per day. Physical Examination Height: 160 cm (5′3′′) Weight: 66.2 kg (146 lb) Mild fever: 38.6°C (101.5°F) Pulse: 86 BPM Respirations: 24/minute Scant urine output BP: 102/84 mm Hg Dry oral mucosa, furrowed tongue, cracked lips Diagnostic Data Urine specific gravity: 1.035 Serum sodium 155 mEq/L Serum potassium 3.2 mEq/L Chest x-ray negativeInstructions: Use the information below to create a full and detailed care plan Merlyn Chapman, a 27-year-old sales clerk, reports weakness, malaise, and flu-like symptoms for 3–4 days. Although thirsty, she is unable to tolerate fluids because of nausea and vomiting, and she has liquid stools 2–4 times per day. Physical Examination Height: 160 cm (5′3′′) Weight: 66.2 kg (146 lb) Mild fever: 38.6°C (101.5°F) Pulse: 86 BPM Respirations: 24/minute Scant urine output BP: 102/84 mm Hg Dry oral mucosa, furrowed tongue, cracked lips Diagnostic Data Urine specific gravity: 1.035 Serum sodium 155 mEq/L Serum potassium 3.2 mEq/L Chest x-ray negative What is Merlyn’s Chief Complain? What evidence led you to believe that this was the chief complain? What action would you take if Mrs. Chapman’s heart became irregular? Mrs. Chapman is responding inappropriately to your questions; she seems to be confused. What do you think is happening? Offer suggestions for ways to help Mrs. Chapman increase her…
- A student with type 1 diabetes tells the nurse they are feeling light-headed. The student's blood glucose is 3.0 mmol/L. Using the 15-15 rule, the nurse should give: Question 101 options: 15 g of carbohydrate and 15 g of protein 15 ounces of juice and re-test the blood sugar in 15 minutes 15 ml of juice and give another 15 ml in 15 minutes 15 g of carbohydrate and re-test the blood sugar in 15 minutesAs a part of patient's care planning, the nurse should include guidelines for nutrition during lactation which include Decreasing the amount of calories consumed during pregnancy to prevent additional weight gain Increasing the amount of fats in the diet to ensure ample absorption of fat-soluble vitamins by the baby Limiting fluids to four to six glasses per day to prevent fluid overload Increasing the energy intake by approximately 500 kilocalories more than the usual adult allowanceNurse Zasha is imparting instructions to Mrs. Zexy Lucero, 30 years old G1P0, with a history of cardiac disease concerning suitable dietary measures, Which statement. if made by Mrs. Zexy, indicates a need for further instructions provided by Nurse Zasha? (Select all that apply) “I should increase my sodium intake during pregnancy" “ I should maintain a low-calorie diet to prevent any weight gain." “I should drink adequate fluids and increase my intake of high-fiber foods. “ I should lower my blood volume by limiting my fluids"