Situacin Clnica Hipottica: Mujer de 55 aos con peso corporal de 80.36 Kg. y estatura de 1.70 m2.ndice de Masa Corporal 53 (Obesidad grado III -…

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Question Answered step-by-step Situación Clínica Hipotética:Cuales son los diagnosticos de enfermeria y cual plan educativo debe planificarse?Mujer de 55 años con peso corporal de 80.36 Kg. y estatura de 1.70 m2. Índice de Masa Corporal 53 (Obesidad grado III – mórbida) circunferencia de cintura 125 cm (49.21in). Es residente en el Estado de Florida, EE. UU., puertorriqueña, divorciada, de religión católica y con nivel educativo de bachillerato en Justicia Criminal. Tiene diagnóstico médico de Diabetes Mellitus tipo II desde hace diez (10) años aproximadamente e Hipotiroidismo. Signos vitales: presión arterial: 140/80 mmHg, frecuencia cardiaca: 98/ minuto, frecuencia respiratoria: 18/ minuto y temperatura corporal: 36.2 °C. Resultados de laboratorio: Glucosa: 376 mg/dl, Glucosa Glicosilada (HbA1c) 10.6%, Colesterol 217mg/dl, Triglicéridos 161 mg/dl, Colesterol HDL 37 mg/dl y microalbuminuria de 20 mg/L. Tratamiento médico actual: La cliente no sigue el tratamiento médico por que indica que su trabajo no le permite tiempo para acudir con regularidad a las consultas médicas.. Health Science Science Nursing ENF 231 Share QuestionEmailCopy link Comments (0)

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Question Knowledge Activity: Nutrition Post-CVA -  Homer Xiang, Sr. Resources: EHR Go -  https://web21.ehrgo.com/rd/?courseActivityId=73920Activity:  Open the link to Homer Xiang, Sr (above).   Review Homer's Chart.  Using the information in the chart, answer the following questions. Using your textbook or any of the resources accessible in EHRgo, list the effects of a stroke that would influence his nutritional intake.                           1 mark each =       /total 4 marks Under the orders tab, the nurse notes that Homer has an order for a Speech Therapist (ST) Consult.  In bullet points, how would the ST evaluate for dysphagia?    Remember to further open to provide further details.                               /2 marks Under the orders tab, the nurse notes that Homer has an order for a Flush PEG tubing.   Write out the general steps on how the nurse would perform this.   /4 marks Identify the factors that may present a nutritional deficit problem for Homer.  Review the chart for unique Homer features.  Be sure to review the Problems Tab and the quick survey (under the vital sign tab).                                         1 mark each =       /4 marks How will the nurse evaluate Homer's nutritional status?   1 mark each assessment item =       5 marks What is Homer's BMI and what does it mean?                                                                                              1 mark for number, 1 mark for interpretation =  / 2 marks     Identify two advantages and two disadvantages are to administering enteral feedings.    /4 marks AdvantagesDisadvantages1.   1.2.   2. The nurse is continually evaluating the client's tolerance to enteral feed.  Identify three assessment findings that may indicate Homer is not tolerating his feedings?                                                                 1 mark each =       /3 marks The nurse is preparing Homer for the next feeding. What position is optimal for Mr. Xiang? How long after the completing of the feeding, should Mr. Xiang remain in this position?                                          1 mark for position, 1 mark for length of time  =       /2 marks The nurse is working an 8-hour shift.  Review Homer's chart, including the order for his enteral feeds and flush.  What is the total intake for the shift?  You may exclude the flush pre/post medication                                                                                                                                                                      /3 marks Mr. Xiang has right sided hemipilegia.  What principles should the nurse consider assisting the patient to the bedside chair?                        /2 marks Review Vital Signs and identify if any measurement is outside of normal parameters?         /2 marks Review Homer's orders regarding urinary elimination.  You may double click the order to expand for further details. Provide some discussion on whether you would or would not proceed with the         order.                                        /3 marks Not related to EHRgo Case1. Identify the food connected to the appropriate diet.  Below is a list of food items.  Along the top are the different diet categories.  Place an X if that food can be given is a patient is on each diet (each food item may be in multiple columns)                             0.5 marks each =       /8 marks Clear FluidsFull FluidsSoft DietDiet as Tolerated (DAT)Apple juice    Banana    Broth    Chicken    Chocolate Pudding    Cooked Vegetables    Custard    Eggs    Ginger Ale    Ice Chips    Ice Cream    Orange Juice    Purred Squash soup    Rice Pudding    Smooth Peanut butter    Water     Health Science Science Nursing PNL 110 Share QuestionEmailCopy link Comments (0)
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