Learning Objectives, Chapter 11, Nutrition and Hydration

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Question Learning Objectives, Chapter 11, Nutrition and HydrationDescribe age-related changes affecting hydration in older adults.Identify causative factors and signs of dehydration in older adults.  Learning Objectives, Chapter 12, Sleep and Rest1. Read and review the assigned article found in Chapter 12, “Managing Insomnia in Older Adults”.2. Complete the article review and upload to GC.  Learning Objectives, Chapter 13, Comfort and Pain Management1. Describe the components of a comprehensive pain assessment.referencehttps://coursepoint.vitalsource.com/reader/books/9781975176389/epubcfi/6/46%5B%3Bvnd.vst.idref%3Dbody22%5D!/4/2/20/4/12/3:84%5Bril%2Cy%20d%5D  Health Science Science Nursing NURSING RN 230 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step THE NERVOUS SYSTEMOverview: This case requires knowledge of hydrocephalus,spina bifida, growth and development, as well as an understanding of the client's background, personal situation, and parent-child attachment relationship.Client Profile Jerod is the name Joanna and Jim chose for their first child. Jim accompanied Joanna to all of her prenatal visits. When the routine ultrasound was performed at 32 weeks' gestation, Jerod wasdiagnosed with hydrocephalus and a myelomeningocele. His parents were initially devastated, but remained very excited about their son's birth. Joanna was scheduled for a caesarean section at 38 weeks' gestation and the couple were anxious about Jerod's condition and his treatment following birth.Case Study Jerod is delivered by caesarean section and transferred to the pediatric intensive care unit(PICU). On admission to the nursery he weighs 3.4 kg (7.5 lb) and is 8 cm (20 in.) in length. His vital signs are: Temperature: 37° C (98.6° F) Pulse: 144 beats/minute Respirations: 40 breaths/minute He hasbulging fontanels and a high-pitched cry. His head circumference is 40 cm (15.8 in.) and his chest circumference is 34 cm (13.4 in.). In the lumbar region of his spine, the nurse notes a sac-like projection. When Joanna and Jim visit the nursery, they stroke Jerod and caress his fingers and toes. Joanna begins to cry and comments to the nurse, "I so wanted to breastfeed Jerod, but now I guess I can't."Questions1. Discuss the reason for Jerod being delivered by caesarean section.2. Discuss the significance of Jerod's clinical manifestations.3. What is hydrocephalus?4. What is a myelomeningocele and how is it related to hydrocephalus?5. Discuss the incidence and etiology of hydrocephalus and myelomeningocele.6. Discuss the complications associated with Jerod's myelomeningocele.7. What are the priorities of care for Jerod on admission?8. Discuss Jerod's parents' actions when visiting Jerod in the nursery and how the nurse should respond to Joanna's concern about breastfeeding.9. Discuss the priority nursing interventions when caring for Jerod's myelomeningocele prior to surgery.10. Jerod's myelomeningocele is surgically repaired and a shunt is placed for his hydrocephalus. Discuss the two types of shunts used to treat hydrocephalus and which is most commonTHE INTEGUMENTARY SYSTEMOverview: This case requires knowledge of burns, child abuse, as well as an understanding of the client's background, personal situation, and mother-child attachment relationship.Client Profile Kyla is an 8-month-old infant who lives with her mother, grandmother, and great grandmother in Cincinnati, Ohio. Her mother, Sierra, is a 16-year-old who stopped going to school after she became pregnant by her on-again, off-again 18-year-old boyfriend, Kyle, who visits Sierra but shows no interest in Kyla. He frequently becomes annoyed and leaves when Kyla needs to be fed or have her diapers changed. Sierra's father was very abusive to both Sierra and her mother as Sierra was growing up. He died 6 months ago as a result of a knife wound that occurred during a fight at a local tavern. He and Sierra's mother lived together with their five children and when he worked, he worked for a minimum wage that barely fed his family. Kyla's aunts and uncles (Sierra's three sisters and one brother) keep in contact with their mother and sister, but are busy with their own lives and families. Although Sierra participates in Kyla's care, her mother is the stable caregiver when she is not working. The relationship between Sierra and her mother has been strained since Sierra became pregnant and frequently the two engage in heated arguments over the increased financial stress related to Kyla's needs and Sierra's refusal to seek employment. Sierra's grandmother is in poor health and requires frequent visits to the emergency room as a result of unstable angina.Case Study At 2135 hours, Kyla is brought wrapped in a bath towel by her grandmother to the emergency department at the local hospital. The admitting nurse observes that Kyla is crying vigorously and is unable to be consoled. She is in no apparent respiratory distress. According to the grandmother, Kyle came over to see Sierra while Kyla's grandmother was out at the grocery store. When she returned, Kyla was screaming. Sierra said that she and Kyle were talking and Kyla "got real fussy, so we decided to give her a bath to get her to quiet down, but she just kept screaming." Kyla's grandmother wrapped Kyla in a bath towel and brought her to the hospital because she thought that she was sick because "she was so red." On further assessment the nurse notes that Kyla has blisters on her feet, lower legs, and buttocks, and bruises on her upper arms. The health care provider examines Kyla and arranges for her to be transferred by AirFlight to Cincinnati Shriners' Hospital to be admitted with second-degree burns of her buttocks, genitalia, legs, and feet. Health care providers at the burn center estimate Kyla's burns as 34% of her total body surface area (TBSA) using the "Estimation of the Extent of Burns in Children" chart. Although Sierra calls every other day to ask about Kyla's condition, she doesn't visit her daughter. Kyla's grandmother stays at the hospital with Kyla.Questions1. Discuss what is the impressions about the above situation.2. Discuss the factors in this situation that would place Kyla at risk for child abuse. 3. Using developmental theory, discuss Sierra's level of growth and development.4. The health care providers determined that Kyla's development was appropriate for an 8-month-old infant. Discuss what you would expect when assessing Kyla's growth and development.5. Discuss how the health care providers arrived at 34% of Kyla's TBSA experiencing second-degree burns. 6. Describe the characteristics of second-degree burns.7. Using the 4:2:1 rule for calculating maintenance rate of intravenous fluids for Kyla, who weighed 3.18 kg (7 lb) at birth and has experienced a weight gain within normal limits for her age, calculate her hourly IV rate.8. Determine Kyla's priority nursing diagnoses on admission to the burn center, discussing why each is a priority.9. Discuss your impressions about why Sierra doesn't visit Kyla at the hospital.10. Discuss what members of the health care team should be involved in Kyla's care and recovery.11. Discuss what out come about child abuse and how you would feel if you were a nurse caring for Kyla in Health Science Science Nursing NURSING 207 Share QuestionEmailCopy link Comments (0)
Question Answered step-by-step 41. (42)a nurse is witnessing the informed consent of a client scheduledfor cardiopulmonary bypass. When the nurse asks the client if they understand the risks and benefits of the procedure as explained by the surgeon., the client states. Yes., I spoke with my doctor's nurse, and they answered all of my questions. Which of the following actions should the nurse take? -Ask the client if the surgeon's nurse explained the procedure thoroughly  -Determine if the client has spoken with the surgeon about the surgery -Check to see if the client has additional question -Allow the client to sign the consent 42. (41). A nurse in a long-term care facility is reinforcing with a newly nurse about chemotherapy-induced nausea. Which of the following food selection indicates the newly licensed nurse understands the teaching? -Soft-serve ice cream -Hot tea -Raisin toast -String cheese 43. (40). A nurse in a long-term care facility is serving on a committee that is reviewing recent incident reports. Which of the following situations is an example of an intentional tort? -A nurse administers a dose of oxycodone to the wrong client -A nurse injures a client's skin when she is removing stapies from his knee -A nurse tells a visitor that a client has a diagnosis of hepatitis C -A nurse trips over an object on the floor and spills hot coffee on a client. 44. (37). A nurse is reviewing the computer documentation of a newly licensed nurse. Which of the following practices by the newly licensed nurse should the charge nurse identify as appropriate documentation practice? -Includes quotes from the client -Documents that the provider wrote an inaccurate prescription -Makes reference in the nurse notes of completing an incident report -Remains logged into the chatting system throughout the shift. 45. (36). A nurse is caring residents at a long-term care facility following a tornado. Which of the following task should the nurse delegate to assistive personnel? -Determine which clients need priority medical treatment -Answer questions from area residents who have health concerns -Perform CPR for a client who is not breathing -Complete distal capacity refill checks for a client who has an open leg wound 46. (35). A staff nurse discovers treatment error made by a nurse on the previous shift. The staff nurse finds no documentation of the error. Which of the following actions should the staff nurse take first? -Report the error to the provider -Educate the client for injury -Complete an incident report -Notify the nurse manger 47. (32). A nurse is receiving change-of-shift about four clients. Which of the following clients should the nurse ask the charge nurse to reassign to an RN? -A client who requires tracheostomy suctioning -A client who requires an eternal feeding -A client who requires initial education about blood glucose monitoring -A client who requires irrigation of an indwelling urinary catheter 48.(31). A nurse in a provider's office is caring for four clients. The nurse should recommend an interdisciplinary conference for which of the following clients?A. A client who is receiving digoxin and has a heart rate of 98/minB. A client who has asthma and has a peak expiratory flow rate of 85%C. A client who had a stroke and has dysphagiaD. A nurse who has sickle cell anemia and reports pain 49. (`29). A nurse is assisting with planning an educational session about time management. Which of the following information should the nurse recommend including in the teaching?            A. Focus on completing least important tasks first            B. Take time at the beginning of the shift to plan clients' care            C. Set aside time at the end of the shift to complete charting            D. Work through breaks to complete assigned tasks.50. (23). A nurse is supervising assistive personnel (AP) who is collecting a clean-catch urine specimen from a client. Which of the following actions by the AP indicates an understanding of the procedure?A. collects the specimen from the initial stream of urineB. Dons a pair of sterile gloves prior to collecting the urine specimenC. Stores urine specimen at room temperature for 1 hr following collectionD. Offers the client fluids 30 min before collecting the urine specimen          Health Science Science Nursing NURSING LPN PNP124 Share QuestionEmailCopy link Comments (0)
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