Mrs. Charlette came in today to go over a visit for her obesity diagnosis. The provider wants you to discuss the food pyramid with the patient and how it will help her with her new diagnosis. Explain how you would approach this and how would you help the patient to understand the importance of compliance with the food pyramid.
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A food pyramid is a distribution of food according to the nutrients available. How many calories are provided by the food items is also assessed and food items are placed accordingly.
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- Write a few paragraphs about how you will educate her and what advice you have for her. Based on her medical history, are there any other nutrients she should monitor in addition to carbs? How will you know Mrs. Normal understood the information you provide?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.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 caring for a client who is schedule for surgery while witnessing the client signature. While the client is saying I trust my doctor, but I don’t understand what he meant when he said he’ll reset my intestines. Which of the following actions should the nurse take? Notify the provider complete incident report. provide brochure about the procedure describe the surgery to the clientDiscuss the nursing priorities for a patient undergoing a bowel resection surgery.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
- A patient who has end-stage liver disease is experiencing signs and symptoms of hepatic encephalopathy. What interventions should the nurse implement for this patient? What teaching should the nurse provide to the family?A doctor’s office has a tablet that patients can use to learn more about their conditions or about healthy living. They can also sign up to be sent an email newsletter related to their condition. Describe a form that might be useful to put on this tablet. Describe why tab control might be useful to add to this form. Explain the steps needed to add tab control.This is after Mr. Garcia been seen by a RDN and made changes do his diet and nutrition education before leaving the hospital. The changes included: 1. No added salt / low saturated fat 2. Low cholesterol 3. Pre-diabetic (based of glucose lab) 4. Has no food allergies 5. His wife does the majority of cooking and shopping (she started to use corn oil to cook with and not fry foods as often) 6. Household 5 (his daughter and two grandkids live with him and Mrs. Garcia) I suggested the following: 1. Mr. Garcia should consume more fiber (soluble and insoluble) 2. Mr. Garcia was interested in taking fish oil supplements (I was thinking added more omega-3 to his diet) 3. Mr. Garcia is very dehydrated (nursing assessment: skin turgor = TENT) So now that Mr. Garcia left and received education and made diet changes, we are now seeing him and his wife 4 weeks later as an outpatient.
- Choose the nutritional treatment or diet plan the nurse would implement for a patient with sepsisA 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.Mr. North is 62 years of age and has recently been diagnosed with Type 2 diabetes. What is insulin reaction? Please be detailed. Why is foot care important for diabetic residents? What patient care measures can nurse aides do regarding foot care? What can nurse aides not do?