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- The home care nurse is visiting a client who was recently disgnosed with type 2 diabetes mellitus. The client, prescribed repaglinide and metformin, asks the nurse to explain these medications. The nurse should reinforce which instructions to the client? Select al that apply. 1. Diarrhea can occur secondary to metformin. 2. The repaglinide is not taken if 2 meal is skipped. 3. The repagiinide is taken 30 minutes before eating. 4. Candy or another simple sugar is carried and used to treat mild hypoglycemia episodes. 5. Muscle pain is an expected side effect of metformin and may be treated with acetaminophen. 6. Metformin increases hepatic glucose production to prevent hypoglycemia associated with repagiinideA client is on complete bed rest after a total hip replacement surgery while he is being treated for a mild postoperative surgical wound infection. Identify the underlying physiologic factors that could increase the nutritional needs of this client. Give specific rational A.Anabolism, polydipsia, hypertriglyceridemia B.Elevated protein plasma levels, hypotension, glycolysis C.Large abdominal girth,insulin resistance, acidosis D.Fever, increased white blood cell count, negative nitrogen plasma levelchoose one option only a nurse is providing dietary instructions to a client with diverticulitis about increasing fiber intake. Which of the following food choices by the client indicate the instructions has been understood? Eggs sweet potatoes milk pork sausage
- Self-Monitoring of blood glucose for diabetic client is on what type of prevention? a. Secondary b. Primary c. TertiaryA 65-year-old male patient is scheduled for a femoropopliteal bypass procedure. He is diabetic and his overall health appears to be worsening What are the possible postoperative prognoses for this patient? What are the complications of this procedure and for which of these is the patient at most risk? What effect(s) of diabetes might lead to the need for the patient to have this procedure?The order is for Total Parenteral Nutrition (TPN) 250 mL of Aminosyn II 5% (protein source), 1000 mL D25W (carbohydrate source), and 500 mL of Lipsyn II 10% (fat source) to be administered IV. How much nutritional value, in kcal, will the client be obtaining from the protein source infusion? Assume 1 g of protein provides 4 kcal of nutritional value. Question 1 options: a) 50 kcal b) 165 kcal c) 100 kcal d) 82.5 kcal
- FILTER > 5 6 7 8 9 10 Question 4 v FLAG QUESTION A 55-year-old man comes to the physician because of a 1-week history of constipation. The patient has a 25-year history of type 2 diabetes mellitus with poor control. The physician noticed the patient had not been following the diet and medication plan. The patient was diagnosed with diabetic gastroparesis secondary to uncontrolled diabetes. The prolonged elevated blood sugar can damage the autonomic nerves that produce the contraction of the stomach, as described in this case. Which of the following labeled pathways represents the innervation of the autonomic fibers damaged in this patient? . Answers: A - E A B tab BD C C DA 4 OF 33 QUESTIONS VERSION 3M 30 EE caps lock esc Q A @ 2 W S 300 # 3 E 80 F3 D $ 4 R a F % 5 e FS T G 6 Y H & 7 da F7 U J 8 Dil FO I ( 9 K DD F9 O O O O O ) O L 4 F10 P : TOOLS Question #4 attachment Medulla Spinal cord ; Coc 4 F11 QUESTION ATTACHMENT [ ACH + = AC A 11 Adrenal medulla Arved Voluntary motor nerve…A 55-year-old male client admitted to the healthcare facility complains of excessive thirst, urination, hunger, and numbness and tingling in the extremities. His fasting plasma glucose levels obtained on two different occasions are 136 mg/dL and 145 mg/dL. A diagnosis of type 2 diabetes is made. a. What data would the nurse need to gather before preparing a dietary plan for this client?b. What instructions should the nurse provide to the client regarding dietary restrictions? 123. The wife of a 48-year-old diabetic client, who was discharged from the healthcare facility a week ago, calls the telehealth service. She sounds worried and says her husband has been showing strange symptoms, such as confusion, nervousness, and excessive hunger, for the past 2 days. He has also been complaining of blurred vision and dizziness. She tells the nurse that she had been administering insulin to her husband as directed by the healthcare provider but is not sure of the cause of his condition.a. What…You are required to formulate a plan of education for a Diabetic Ketoacidosis Patient's Family, so they will better understand his condition and be able to assist him to manage those days when is unwell. What areas would you cover? How would you ascertain their understanding?
- MAKE A SCIENTIFIC (must include author and year published) AND SITUATIONAL ANALYSIS OF THIS DX. SCIENTIFIC ANALYSIS: SITUATIONAL ANALYSIS: Main Dx: Imbalanced nutrition less than body requirements related to Lacto-Ovo vegetarian diet as evidenced by lack of essential minerals & nutrients (Iron, Zinc & Omega Fatty-acids) SCENARIO: Aubrey, 19 years old, an incoming college freshman student went to Ateneo De Manila Health Services for physical examination. The nurse gathered the following information: Height: 5 ft Weight: 48 kg Vital signs: Temp 37.2C, Pulse rate: 95 beats per minute, Respiration rate: 12 breaths per minute, and BP: 100/70mmHg. Family History of illness: Father (+) Hypertension (HPN), and Diabetes Mellitus (DM) Present Health History: Aubrey never experienced to get hospitalized as far as she can remember. Her mother ensures that she takes daily supplemental vitamins such as vitamin C and B complex, and every year she gets flu vaccine from their family doctor.…Please comment on the following on statement on obesity: In most cases there are many different causes that lead to one thing, and oftentimes these causes are systemic. Therefore, rather than trying to assign individual blame for large scale issues we should be looking at the systems that have led to those issues and work at the root of the problem. In general I feel that people want to simplify causation when in most cases it is much more complex than that.pathophysiology A client is on complete bed rest after a total hip replacement surgery while he is being treated for a mild postoperative surgical wound infection. Identify the underlying physiologic factors that could increase the nutritional needs of this client. give scientific rational A.Anabolism, polydipsia, hypertriglyceridemia B.Elevated protein plasma levels, hypotension, glycolysis C.Large abdominal girth, insulin resistance, acidosis Fever, increased white blood cell count, negative nitrogen plasma level
