Discussion 31. In four weeks, Mr. Garcia and his wife have an appointment with you in the RDN Outpatient office for additional nutritional counseling. What information would you want to collect for this appointment? What are the key questions you will ask them in order to plan the next steps for providing any additional education that he needs?
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- The nurse should include which of the following statements when providing education to the parents of a child who has had a bone marrow aspirate procedure? Select one: a - Your child should not sit for prolonged geriods of time: b. • Your child can take a shower, if desired: c. You should restrict your child's activity to quiet play for the next 12 hours. O d. • You should not give your child a tub bath for 24 hours.You are . . . a Certified Medical Assistant working with Susan Lee, MD, a primary care physician at Fulwood Medical Center. Your patient is . . . Mrs. Sandra Jacobs, a 46-year-old mother of four. Your task is to document her care. Documentation Mrs. Sandra Jacobs, a 46-year-old mother of four, presents in Dr. Susan Lee’s primary care clinic with episodes of crampy pain in her right upper quadrant associated with nausea and vomiting. The pain often occurs after eating fast food. She has not noticed a fever or jaundice. Physical examination reveals an obese white woman with a positive Murphy sign. Her BP is 170/90. A provisional diagnosis of gallstones has been made. She has been referred for an ultrasound examination, and an appointment has been made to see Dr. Stewart Walsh in the Surgery Department. I explained to her the etiology of her gallstones and the need for surgical removal of the stones, and I discussed with her a low-fat, 1500-calorie diet sheet. Luisa Guitterez, CMA.…Your patient reports that she has lack of appetite and hyperinsomnia. What factors will you assess? What is your initial impression or concern based on this limited information?. What finding would concern you the most?. What referrals might you consider?,
- A nurse is assessing a patient who has been NPO (nothing bymouth) prior to abdominal surgery. The patient is ordered aclear liquid diet for breakfast, to advance to a house diet astolerated. Which assessments would indicate to the nurse thatthe patient’s diet should not be advanced?a. The patient consumed 75% of the liquids on her breakfasttray.b. The patient tells you she is hungry.c. The patient’s abdomen is soft, nondistended, with bowelsounds.d. The patient reports fullness and diarrhea afterbreakfast.Will you please help me correct my mistakes in making this ISBAR? and suggests what to improve? I- Hello, I would like to put in a page for Dr. Colson please, thank you. Hello, I'm Art. I'm the nurse taking care of the patient Mr. Noah Roe in room 164. S- The patient Mr. Roe, a 31 years old man, I am calling because he has complained of abdominal pain and abdominal cramps. B- Mr. Roe came in this morning with a high fever and bloody stools. Also, he has a history of laxative abuse. Vital signs are as follows: blood pressure 110/80, pulse 86 bpm, respirations 19 breaths per minute, temperature 38.1 degrees Celsius. I am currently monitoring the total intake and output, including stool output. A- I think the patient is suffering from acute diarrhea. R- I would like you to meet the patient as soon as possible. Is there anything more I should do in the meanwhile, or anything you'll require for your evaluation?Which dietary instruction should the nurse include when teaching a client how to reduce episode of Raynaud syndrome
- Question Sixa. Their have been changing quality expectations in health care, both for the provider and with the providee. Discussb. In reference to the patient safety movement on improvingquality, to minimize error, health care personnel have been urgedto report erratic events that happen in the course of their workand profession, in order to act as a stepping stone to continuouslearning and quality improvement. If you for instance, were aculprit of a grave or minor error that altered the quality of yourservice to a patient, how likely is it that would report the event toyour health care provider system as an error? Discuss both thelikely pro’s and con’s as well.Choose the nutritional treatment or diet plan the nurse would implement for a patient with sepsisA visiting nurse is performing a family assessment of ayoung couple caring for their newborn who was diagnosedwith cerebral palsy. The nurse notes that the mother’s hairand clothing are unkempt, the house is untidy, and themother states that she is “so busy with the baby that I don’thave time to do anything else.” What would be the priorityintervention for this family?a. Arrange to have the infant removed from the home.b. Inform other members of the family of the situation. c. Increase the number of visits by the visiting nurse.d. Notify the care provider and recommend respite care forthe mother.
- Your patient reports that she has a lack of appetite and hypersomnia. What other factors will you assess? What is your initial impression or concern, based on this limited information? What findings would concern you most? What referrals might you consider?To obtain more information about the client's current status, which questions are a priority for the nurse to ask family? (Select all that apply. One, some, or all options may be correct.)Select all that applyDoes you have any other children?Have you offered fluids other than formula?What was the client's last weight?Has the client completed all their immunizations?How many hours does the client normally sleep each day?can you briefly discuss three nutritional interventions that you would suggest to your client to improve her A1c and reduce the risk of other health complications