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- A nurse is providing dietary teaching to a client who has a new diagnosis of Irritable bowel syndrome. Which of the following recommendations should the nurse include? 0004 Increase intake of foods high in gluten. Increase intake of milk products. Sweeten foods with fructose corn syrup. Consume food high in bran fiber.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 complicationschoose one option only A nurse is providing instructions to a client with type 1 diabetes about nutritional intake during times of illness. Which of the following information should the nurse include? choose solid foods over liquids eat snacks containing 15 grams of protein 3 Times Daily consume carbohydrates every 1 to 2 hours include drinks with sugar at each mea
- Physical Concerns Reason for the physical concern IS 1. Nausea and A. Increased prolactin levels for milk production vomiting B. relaxation of GI muscle tone due to elevated ERS 2. Heartburn progesterone level C. Increased appetite 4. physiologic anemia D. relaxation of cardiac sphincter or anxiety 5. Enhanced Appetite E. Secretion of nutrient into breastmilk 3. Increase BMR 6. Calcium F. This is due to increase in oxygen consumption Homeostasis related to increase cardiac output and due to 7. Constipation 8. Postpartum weight G. Circulating volume increase by 30-50%, Total increase oxygen needs of the placenta retention body water increases 9. Inadequate weight H. vomiting gain I. Energy intake more than the required 10. Excessive weight (there are only 9 choices) gainA nurse is evaluating patients to determine their need for totalparenteral nutrition (TPN). Which patients would be the bestcandidates for this type of nutritional support? Select all thatapply.a. A patient with irritable bowel syndrome who hasintractable diarrheab. A patient with celiac disease not absorbing nutrients fromthe GI tractc. A patient who is underweight and needs short-termnutritional supportd. A patient who is comatose and needs long-term nutritionalsupporte. A patient who has anorexia and refuses to take foods viathe oral routef. A patient with burns who has not been able to eatadequately for 5 daysA 48-year old female presents to her physician with concern of worsening fatigue over thepast months.She reports feeling tired out all the time and unable to concentrate. Nothing seems tomake it better, not even rest. She has not seen a physician in a number of years otherthan for routine OB/gyn care and reports having gradually put on 40-50 lbs. over thepast 10 years. (Current weight 253; height 65.5 inches)She undergoes an oral glucose tolerance test and based on that data (and otherlaboratory values) she is diagnosed with type 2 diabetes. Further testing shows she is alsohypertensive and has hyperlipidemia.What isthe metabolic connection between type 2 diabetes and hyperlipidemia? Be specific inyour discussion and include relevant enzymesrelated to lipid metabolism. Circulating levels of which lipoproteins would be consistent with a diagnosis of hyperlipidemia?Be specific and include rationalesfor why some lipoproteins may be elevated and others not. This individual is prescribed…
- Discuss ways to increase food intake for clients with anorexia, nausea, vomiting, early satiety, or bloating reflecting on the readings you have done on diet with cancer, disease, and critical care.Matthew is a 59-year-old diagnosed with Type II diabetes in the fall of last year. He presents today for follow up. His BS are better—he tells you that they are all still running a bit high—from 170-200 mg/dL—regardless of the time of day taken. He says his fasting BS is about 170 mg/dL. He is trying to follow his diet—and he feels like he has really come a long way in managing his diabetes. He states that when his NP diagnosed him, he was drinking about 4 liters of regular coke every day and eating junk food—his A1C at the time of diagnosis was 14 % Currently, his A1C is 8.0%. Other PMH is CAD, Dyslipidemia and Diabetic neuropathy. His current regimen of medications is: Metformin ER 1000 mg BID; ASA 325 mg daily; Lisinopril 10 mg daily Coreg 6.25 mg BID; Crestor 20 mg daily; Multivitamin [1] daily Vitamin D3 10,000 IU daily; Lyrica 50 mg at HS His CBC and electrolytes are normal; creatinine 1 mg/dL; [calculated GFR 115 cc/minute] thyroid function tests are normal. TC = 200…A nurse is assessing a client who has acute pancreatitis. Which of the following findings should the nurse expect?A.HypertensionB.Hyperactive bowel soundsC.Peripheral edemaD.Periumbilical discoloration
- Matthew is a 59-year-old civil engineer diagnosed with Type II diabetes in the fall of last year. He presents today for follow up. His BS are better—he tells you that they are all still running a bit high—from 170-200 mg/dL—regardless of the time of day taken. He says his fasting BS is about 170 mg/dL. He is trying to follow his diet—and he feels like he has really come a long way in managing his diabetes. He states that when his NP diagnosed him, he was drinking about 4 liters of regular coke every day and eating junk food—his A1C at the time of diagnosis was 14 % Currently, his A1C is 8.0%. Other PMH is CAD, Dyslipidemia and Diabetic neuropathy. His current regimen of medications is: Metformin ER 1000 mg BID; ASA 325 mg daily; Lisinopril 10 mg daily Coreg 6.25 mg BID; Crestor 20 mg daily; Multivitamin [1] daily Vitamin D3 10,000 IU daily; Lyrica 50 mg at HS His CBC and electrolytes are normal; creatinine 1 mg/dL; [calculated GFR 115 cc/minute] thyroid function tests are…Matthew is a 59-year-old civil engineer diagnosed with Type II diabetes in the fall of last year. He presents today for follow up. His BS are better—he tells you that they are all still running a bit high—from 170-200 mg/dL—regardless of the time of day taken. He says his fasting BS is about 170 mg/dL. He is trying to follow his diet—and he feels like he has really come a long way in managing his diabetes. He states that when his NP diagnosed him, he was drinking about 4 liters of regular coke every day and eating junk food—his A1C at the time of diagnosis was 14 %Currently, his A1C is 8.0%. Other PMH is CAD, Dyslipidemia and Diabetic neuropathy. His current regimen of medications is:Metformin ER 1000 mg BID; ASA 325 mg daily; Lisinopril 10 mg dailyCoreg 6.25 mg BID; Crestor 20 mg daily; Multivitamin [1] dailyVitamin D3 10,000 IU daily; Lyrica 50 mg at HSHis CBC and electrolytes are normal; creatinine 1 mg/dL; [calculated GFR 115 cc/minute] thyroid function tests are normal. TC = 200…A client who is obese reports severe pain and is unable to bear weight in the right ankle after making dietary changes 3 weeks ago for weight loss. The client's medical history includes hypertension, gouty arthritis, and cholecystitis. Which instruction should the nurse include in the discharge teaching? Use electric healing pad when pain is at its worse Limit use of mobility equipment to avoid muscle atrophy Eat high protein foods to achieve ideal body weight Return for periodic liver function studies