Nutritional Screening is the systematic investigation of a client's dietary status by a nurse. It assesses nutrient consumption and nutrient requirements and identifies any dietary deficiencies or excesses that may be detrimental to the client's overall health and well-being.
A nutritional screening should be performed on newly admitted clients with poor oral intake and who are at high risk of malnutrition. Clients with chronic diseases or acute illnesses are often malnourished, have poor eating habits, and are at risk of becoming more ill if not fed correctly. The following newly admitted patients should be screened for nutritional status: An older adult whose spouse passed away six weeks ago. In that time the client has developed a urinary tract infection (UTI), eats about one meal per day, and has lost 18 pounds.
An older adult whose spouse has recently passed away may be suffering from depression and a reduced appetite, which can lead to malnutrition. The client is also at risk of UTI, which can cause malnutrition by interfering with nutrient intake and utilization. A middle-aged adult with amyotrophic lateral sclerosis (ALS) with a body mass index of 21 and uses a wheelchair for mobility. ALS affects the client's ability to eat, which can lead to malnutrition. The client's low BMI indicates that the client may have inadequate nutrient consumption and may require additional nutrients to maintain optimal health.
A young adult following a 1400 calorie per day, high protein/high carbohydrate diet and exercises 45 minutes per day to get into shape for volleyball season. The young adult should be screened to ensure that they are getting enough nutrients to maintain their exercise routine and that their diet is not causing nutritional deficiencies. An adolescent with poor oral intake who has lost 9% of their body weight in the last month and admits to vomiting after eating. The adolescent should be screened for malnutrition and eating disorders.
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Tricia has been seeing Dr. Chu for three years because of tremors she was experiencing in her hands and forearms, difficulty starting and stopping movements when she walked, and muscular rigidity that was occurring when she tried to move her body in a certain way. At that time Dr. Chu diagnosed her with Parkinson's disease, a progressive movement disorder. She has used levodopa and then ropinirole to make her brain respond as if it is receiving the neurotransmitter dopamine. Unfortunately, many side effects develop through years of treatment and eventually it becomes ineffective. 1. Discuss the anatomy and physiology of the case by connecting with affected organs and systems. 2. Describe the pathophysiology of the clinical case. 3. What can be the treatments?
Parkinson's disease involves basal ganglia dysfunction due to dopamine deficiency from degeneration of substantia nigra neurons, leading to movement symptoms. Treatment includes medications, surgery, and therapies.
Parkinson's disease affects the basal ganglia in the brain, leading to movement-related symptoms in organs and systems such as tremors, difficulty with motor control, and muscular rigidity.The pathophysiology involves the progressive degeneration of dopamine-producing neurons in the substantia nigra, causing a dopamine deficiency and disrupting the balance of inhibitory and excitatory signals in the basal ganglia.Treatment options for Parkinson's disease include medications like levodopa and dopamine agonists, deep brain stimulation, physical therapy, and surgical procedures like pallidotomy or thalamotomy. Individualized care is necessary for managing symptoms and slowing disease progressionLearn more about basal ganglia here
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Answer the following 4 questions that are based on this scenario: Vivian follows up with her PCP for her hypothyroidism. She is 60 years old and was diagnosed with hypothyroidism when she sought treatment for dry skin and thinning hair. Her symptoms have improved since her levothyroxine was increased to 125 mcg one year ago. She reports no current syymptoms. What would be the best CC for Vivian's visit? A) Hypothyroidism followup B) Dry skin and thinning hair C) Annual physical D) Followup E) None of the above
The best chief complaint (CC) for Vivian's visit would be D) Followup.
Explanation:
1. The best chief complaint (CC) for Vivian's visit would be D) Followup. This is because Vivian has been diagnosed with hypothyroidism, and her symptoms have improved since her levothyroxine medication was increased one year ago. She reports no current symptoms, indicating that her condition is stable. Therefore, a routine follow-up visit is appropriate to assess her progress, monitor her medication dosage, and address any potential concerns or adjustments needed.
2. Choosing "Hypothyroidism followup" (option A) would be too specific since it doesn't capture the broader purpose of the visit, which is to evaluate Vivian's overall condition and ensure her treatment is still appropriate. "Dry skin and thinning hair" (option B) could have been a possible CC when she initially sought treatment, but since her symptoms have improved with the increased levothyroxine dosage, it is not the primary reason for this particular visit. "Annual physical" (option C) is a general check-up, but in this case, Vivian's visit is specifically focused on her hypothyroidism follow-up. Therefore, the most appropriate CC would be "Followup" (option D) to indicate a routine visit to monitor and manage her hypothyroidism. "None of the above" (option E) is not the best choice because there is a specific reason for Vivian's visit, even though she doesn't currently have symptoms.
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Which muscles did you exercise in this session? had you ever exercised them before? if so, how?
The muscles exercised in this session are the chest and abdominal muscles.
In this strength training session, the focus is on the chest and abdominal muscles. The Chest exercises, such as chest presses or push-ups, primarily target the pectoralis major and minor muscles, which are responsible for the movement of the arms towards the center of the body.
The abdominal exercises, like vertical leg crunches, work the rectus abdominis muscles, which help in flexing the spine and bringing the ribcage towards the pelvis. These exercises can help strengthen and tone these muscle groups. If you have prior experience with weight training or running, it may have involved engaging these muscles indirectly through compound movements or core stabilization exercises.
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The complete question is:
Complete the chest and abdominal exercises in the knowledge article. Do all the exercises in order starting with the chest press and ending with the vertical leg crunch. Read the directions and study the pictures of the exercises before you begin. Be sure to complete the recommended number of sets and repetitions for each exercise.
Required:
Which muscles did you exercise in this session? Had you ever exercised them before? If so, how?
Population and Development: Which of the following affects the greatest number of people in the developing world? Select one: a. No childhood immunization for measles b. Inadequate sanitation c. Water availability d. Lack of primary schools for children
Among the following options, inadequate sanitation affects the greatest number of people in the developing and populated world. Option b. is correct.
What is inadequate sanitation? Inadequate sanitation means lacking access to clean drinking water and sanitary living conditions. It includes deficient sewage disposal and waste management. It is a serious problem in many parts of the world, particularly in developing countries. Inadequate sanitation is a leading cause of infectious diseases such as cholera, typhoid, and dysentery that affect children and adults alike.
What are the other options? The other options in the question are: a. No childhood immunization for measles b. Water availability c. Lack of primary schools for children All of these are significant challenges in developing countries. However, inadequate sanitation affects the greatest number of people.
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1b. (3 points) review section 1.5, pages 17-19, in your textbook. apply this information to
what you learned in part la by answering the following question. what type of study did
dan buettner and his research team use to identify the blue zones? (hint: was it a double
blind study, epidemiological study, case control study, or animal model?) use the
information from the text to describe the research method used by buettner and his
team.
Dan Buettner and his research team used an epidemiological study to identify the blue zones.This research method allowed them to gather and analyze data from populations.
According to the provided information, Dan Buettner and his research team conducted a study to identify the blue zones. The blue zones are regions in the world where people live significantly longer and healthier lives compared to the global average. To investigate these regions, Buettner and his team utilized an epidemiological study.
An epidemiological study is a type of research method that focuses on studying the patterns and determinants of health and disease within populations. It involves observing and analyzing data from a large group of individuals to identify associations and risk factors for specific health outcomes.
In the case of Buettner and his team, they likely collected data on various lifestyle factors, dietary habits, social structures, and other relevant variables from the populations living in the blue zones. By analyzing this information, they aimed to uncover commonalities and factors contributing to the longevity and well-being of individuals in those regions.
Dan Buettner and his research team employed an epidemiological study to identify the blue zones. This research method allowed them to gather and analyze data from populations living in these regions to determine the factors associated with their exceptional longevity and health.
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how
does the peripheral nerve regeneration occur after an injury?
Peripheral nerve regeneration refers to the process of restoring function and structure to a damaged or severed nerve. Regeneration of peripheral nerves involves three primary steps:Axon regenerationMyelination of regenerated axons Reinnervation of target tissues.
The peripheral nervous system (PNS) is capable of nerve regeneration, which means it can repair damaged nerves and restore function after injury or illness. Regeneration of nerve fibers and surrounding structures after injury is a complex and multifaceted process that depends on various biological and mechanical factors.The regenerative process of peripheral nerves involves three primary steps: Axon regeneration, myelination of regenerated axons, and reinnervation of target tissues.
When a nerve fiber is damaged, the nerve fiber's axon degenerates first, leaving behind a stumps that is surrounded by Schwann cells and other glial cells. Schwann cells are specialized cells in the PNS that are critical for nerve regeneration. They secrete factors that support axon growth and form the guiding pathway for the regenerating axon. In response to injury, Schwann cells at the site of damage secrete neurotrophic factors, which attract and promote the growth of new axons.Axon regenerationThe first step in nerve regeneration is the regrowth of the damaged axon. After a nerve fiber is damaged, the axon degenerates, leaving behind a stump that is surrounded by Schwann cells and other glial cells. Schwann cells at the site of injury secrete growth-promoting factors that attract and support the growth of new axons.
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Which associated disorders may be found in a patient with neuropathic pain? select all that apply.
The associated disorders that may be found in a patient with neuropathic pain include diabetic neuropathy, postherpetic neuralgia, complex regional pain syndrome, and multiple sclerosis.
Neuropathic pain can be linked to various underlying disorders. Diabetic neuropathy is a common condition that occurs as a result of nerve damage associated with diabetes. It can cause burning pain, numbness, and tingling in the affected areas. Postherpetic neuralgia is a complication of shingles, a viral infection caused by the varicella-zoster virus.
It leads to persistent pain in the area where the shingles rash occurred. Complex regional pain syndrome is a chronic pain disorder characterized by severe and disproportionate pain, usually affecting a limb after an injury or surgery. Multiple sclerosis (MS) is a neurological disease that damages the protective covering of nerve fibers, leading to neuropathic pain as one of its symptoms.
While these are some of the commonly associated disorders with neuropathic pain, it's important to note that other conditions such as spinal cord injury, chemotherapy-induced peripheral neuropathy, and certain autoimmune diseases can also cause neuropathic pain.
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FULL QUESTION: Which associated disorders may be found in a patient with neuropathic pain? Select all that apply.
At 12-hours post ingestion, above which plasma paracctamol concentration should treatment be intiated? A. 150mg/L B. 40mg/L C. 20mg/L D. 5mg/L E. Nonc of the above.
Treatment initiation for paracetamol (acetaminophen) ingestion should be considered if the plasma concentration reaches or exceeds 150mg/L at 12 hours post-ingestion, as it indicates the risk of hepatotoxicity. Individualized medical evaluation is necessary for appropriate intervention. The correct answer is option A.
When it comes to paracetamol (acetaminophen) ingestion, treatment initiation is indicated when the plasma concentration of paracetamol reaches or exceeds 150mg/L at 12 hours post-ingestion.
This threshold is used as a guide to assess the risk of potential liver damage (hepatotoxicity) and determine the need for antidotal therapy, such as N-acetylcysteine (NAC).
It is crucial to consider factors like the patient's overall health, risk factors, and the presence of any symptoms or signs of paracetamol toxicity before making treatment decisions.
While the 150mg/L threshold is a general guideline, individualized medical evaluation and consultation are essential to determine the appropriate course of action in cases of paracetamol ingestion. Prompt intervention can help prevent or mitigate liver damage associated with paracetamol overdose.
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Emergency Room Report Patient Name: Irma Kennedy Birth Date: 03/01/XX Patient Number: 02-02-34 Room Number: ER DATE OF VISIT: 05/10/20xx CHIEF COMPLAINT: Left wrist injury. HISTORY OF PRESENT ILLNESS: An 82-year-old white female presents with a left wrist injury. The patient states that her shrubs have not been trimmed, and she was trying to get in between them on a ladder, and fell. She fell against her left hand. She complains of pain over the left wrist . There is no numbness or tingling in the hand. The patient does have limited range of motion secondary to pain. PHYSICAL EXAMINATION: Temperature 36.3, pulse 85, respirations 18, blood pressure 158/88. General: Alert, well-developed, well-nourished, elderly white female in no acute distress. HEENT: Normocephalic, atraumatic. Neck is supple, nontender. Lungs are clear to auscultation. Heart regular rate and rhythm. Abdomen soft, nontender. Extremities are warm and dry. The patient does have gross obvious deformity to her left wrist with swelling and posterior angulation. The pulses were palpable. She had brisk capillary refill and sensation in all her fingers. There is no tenderness over the anatomical snuffbox. Her pain was over the distal radius and ulna. Range of motion was limited secondary to pain. The patient could not fully flex, extend, or abduct her fingers secondary to pain. Otherwise, she was neurovascularly intact. TREATMENT: X-rays of the left wrist, 3 views, showed a comminuted, intra-articular Colles fracture. There is 10 degrees of angulation, apex volar, wrist is shortened by 2-3 cm, displaced approximately 1 cm ulnarly. Dr. Michael, the orthopedic surgeon, was called, and he reduced the fracture and put her in a splint. The patient was initially given fentanyl 25 mcg IM for pain. During the reduction, she was given an additional 25 mcg of fentanyl. Please refer to Dr. Michael's dictation for details of the procedure DIAGNOSIS: LEFT COMMINUTED, INTRA-ARTICULAR COLLES FRACTURE. 1. 2. 3. What brought the patient to the emergency room? What were the patient's main symptoms related to her wrist? What were the physical exam findings pertinent to her injury? What did the x-rays reveal? What treatment was provided and with what result?
The patient was brought to the emergency room with a left wrist injury. The chief complaint was left wrist injury, which is a complaint that the patient is experiencing pain, swelling, and deformity in the left wrist.
The patient's vital signs upon arrival at the emergency room were temperature 36.3, pulse 85, respirations 18, and blood pressure 158/88. The patient's history of present illness indicates that she was attempting to trim her shrubs when she fell against her left hand, resulting in pain over the left wrist.
The patient's physical examination findings indicate that she had a left wrist injury with swelling and posterior angulation. The physical examination also showed that the patient had brisk capillary refill and sensation in all her fingers, which indicates that there was no significant nerve damage.
The X-ray findings showed a comminuted, intra-articular Colles fracture. The diagnosis was left comminuted, intra-articular Colles fracture. The treatment plan included reduction of the fracture by an orthopedic surgeon and placement of the patient in a splint. The dictation from the orthopedic surgeon details the reduction and splinting of the fracture.
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