Teaching the patient to respond to natural hunger and satiety cues, and providing accurate nutrition information.
These are typical roles of the registered dietitian in the treatment of anorexia nervosa.
The eating disorder anorexia nervosa sometimes referred to as just "anorexia," is characterized by low weight, dietary restriction, body image disturbance, anxiety about gaining weight, and an intense desire to be thin. The Greek words anorexia and orexis, which together mean "a loss of appetite," are the root words for the phrase.
The adjective Nervosa denotes the functional and non-organic aspects of the condition. Gull first used the term "anorexia nervosa" in 1873, although despite its literal translation, the need to eat is often present, and the patients find comfort in their pathological control of it.
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the nurse is seeing a client with a recent history of exposure to a family member who has influenza. the client reports a throbbing toothache when bending forward. which assessment should the nurse be sure to include in the physical examination?
The client reports a throbbing toothache when bending forward which means that the assessment which the nurse should include in the physical examination is the palpation of the sinuses.
Who is a Nurse?This is referred to as a healthcare professional who is specially trained in the care of sick and infirmed individuals and also ensures that adequate recovery is achieved to prevent various types of complications.
In a situation where client reports a throbbing toothache when bending forward, physical examination such as the palpation of the sinuses should be done so as to observe any tenderness or other serious symptoms and know the type of treatment to use.
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. which water-soluble vitamins have no tolerable upper intake levels (ul) and why is there no ul for these vitamins?
When taken in excess, vitamin K might have negative effects. Some water-soluble vitamins, including vitamin K, have no detectable toxicity and no established UL. The B1, B2, B5, B7, and B12 vitamins are among them.
Even when consumed in great quantities, these vitamins are unlikely to be harmful when taken naturally through food. However, it's simple to take too much while ingesting supplements in concentrated dosages, which might have a bad impact on one's health. While there is no obvious toxicity associated with these vitamins, it is important to keep in mind that some of them may interact with medications and affect the results of blood tests. Because of this, care should be taken when using any nutritional supplements.
So, similar to vitamin K, some water-soluble vitamins have no detectable toxicity and, consequently, no established UL. B1, B2, B5, B7, and B12 are some of the vitamins
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the home care nurse is caring for an older adult client who has type 1 diabetes. the client has visual impairment and cannot read the numbers on the syringe when preparing insulin for administration nor afford the cost of prefilled auto syringes. what strategy might the nurse use to help this client comply with insulin needs between visits?
The type 1 diabetes patient would be instructed by the nurse to prepare a week's supply of syringes and place them in the refrigerator.
Type 1 Diabetes is a chronic illness sometimes referred to as juvenile diabetes or insulin-dependent diabetes. The pancreas produces little or no insulin in this situation. Insulin is a hormone that the body utilizes to let glucose (sugar) into cells where it may be used to make energy.
Type 1 diabetes may be brought on by a variety of reasons, including genetics and some viruses. While type 1 diabetes often first manifests in infancy or adolescence, it can also strike adults.
There is still no cure for type 1 diabetes, despite much research. The goal of treatment is to prevent problems by controlling blood sugar levels with the use of insulin, food, and lifestyle changes.
The autoimmune response is regarded to be the primary cause of type 1 diabetes (the body attacks itself by mistake). The beta cells, which produce insulin in the pancreas, are destroyed by this process. Before any symptoms show, this process might continue for months or even years.
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after explaining to students about the progression of infection, an instructor determines that the education was successful when the students identify which period as the time during which a disease can be passed from one person to another?
Communicable period is the period as the time during which a disease can be passed from one person to another.
A measure of how long it takes for an infectious agent to spread from one infected person to another, from an infected animal to humans, or from an infected person to other animals, particularly arthropods.
The amount of time after contracting an infection during which it can spread to an uninfected organism is known as the communicability period. The incubation period is the period of time following an infection during which the initial clinical symptoms manifest. Children who are ill and at the contagious stage of their disease can spread the illness to others. Until the sickness is no longer contagious, a kid with a serious illness (like hepatitis) must be kept at home or in the hospital.
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as a doctor you have a patient that has an irregular heartbeat and later discover that the semilunar valves are not properly closing. what would be a consequence on the flow of blood through the heart?
During contraction, blood would flow back into the ventricles from the atria and through the semilunar valves if the semilunar valves were not properly closing.
What Role Do Your Heart Valves Play?Remember that your heart valves, like the one-way valves in your home's plumbing, should keep blood flowing in only one direction through your heart. Your heart valves open to allow blood to flow through and then close to prevent it from returning.
When a valve closes, tissue flaps on the valve close tightly to form a seal. These tissue flaps are referred to as leaflets. When the heart valves function properly, they fully open and close, allowing blood to flow in only one direction at all times.
Atrioventricular valves regulate blood flow between the upper and lower chambers of your heart. The tricuspid valve is the valve that connects the right atrium to the right ventricle. The mitral valve is the valve that connects the left atrium to the left ventricle.Semilunar valves regulate blood flow out of the heart. The pulmonary valve directs blood from the right ventricle to the lungs. The aortic valve allows blood to flow from the left ventricle to your body.
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anna has had diabetes for over 30 years, is of a healthy weight, and manages her diabetes by regular insulin injections. anna most likely has
Anna has had diabetes for over 30 years, is of a healthy weight, and manages her diabetes by regular insulin injections.Anna mostly likely to has hypoglycemia. Excess insulin in the bloodstream causes cells in your body to absorb too much glucose (sugar) from your blood. It also causes the liver to release less glucose. These two effects together create dangerously low glucose levels in your blood.This condition is called hypoglycemia.
Hypoglycemia is a condition in which your blood sugar (glucose) level is lower than the standard range. Glucose is your body's main energy source. Hypoglycemia is often related to diabetes treatment. But other drugs and a variety of conditions many rare can cause low blood sugar in people who don't have diabetes.Hypoglycemia needs immediate treatment. For many people, a fasting blood sugar of 70 milligrams per deciliter, or 3.9 millimoles per liter , or below should serve as an alert for hypoglycemia. But your numbers might be different.
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you are the nurse-manager in the burn unit. which client is best assigned to an rn who has floated from the oncology unit?
45-year-old with infected partial-thickness back and chest burns who has a dressing change scheduled.
Squamous cell carcinoma, which develops in Marjolin ulcers, is the cancer kind that is most frequently found in burn scars. The smallest burn scars can produce basal cell cancer.
Dressing changes and sterile procedure would be familiar to an oncology unit nurse. The charge nurse and the float nurse would collaborate closely to provide partners to help with caregiving and to respond to any inquiries. Expertise in treating burn patients is necessary for the initial assessment at admission, the creation of the initial treatment plan, instruction at discharge, and splint setting in burn patients.
These patients ought to be placed with registered nurses who frequently work on the burn unit.
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the nurse is caring for a client who receives hemodialysis three times a week. what dietary education should the nurse provide for this client?
The nurse is caring for a client who receives hemodialysis three times a week therefore the dietary education the nurse should provide for this client is that less salt and more protein should be taken.
What is Hemodialysis?This is referred to as a medical process which involves purifying the blood of a person whose kidneys are not functioning properly.
The best type of diet recommended by dietitian in this scenario is that the client should eat more protein as it reduces the amount of waste and less salt reduces the load on the kidney thereby making it the correct choice.
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a patient is receiving pharmacologic therapy with ursodeoxycholic acid or chenodeoxycholic-cholic acid for treatment of small gallstones. the patient asks the nurse how long the therapy will take to dissolve the stones. what is the best answer the nurse can give?
A patient is receiving pharmacologic therapy with ursodeoxycholic acid or chenodeoxycholic-cholic acid for the treatment of small gallstones. The patient asks the nurse how long the therapy will take to dissolve the stones. The best answer the nurse can give is: "It takes about 6-12 months of therapy for the stones to be completely dissolved."
What are gallstones?A hardened deposit in the fluid of the gallbladder, a tiny organ located under the liver. Gallstones are deposits of digestive fluid that have calcified.
Gallstones can range in size and quantity, and they can produce symptoms or not. People who have symptoms frequently need their gallbladders removed. Gallstones that do not produce symptoms are typically not treated.
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the nurse witnesses a client experiencing ventricular fibrillation. what is the nurse's priority action?
Answer: The nurse needs to defibrillate immediately.
after hospital discharge, the parent of a child newly diagnosed with type 1 diabetes mellitus telephones the nurse because the child is acting confused and very sleepy. which emergency measure would the nurse suggest the parent carry out before bringing the child to see the health care provider?
Subcutaneously in the outer thigh.
It is impossible to mix a long-acting version of insulin with the short-acting type by drawing up the short-acting insulin first. This keeps the short-acting insulin on hand in case of an emergency. It is administered subcutaneously.
A series of illnesses known as diabetes mellitus alter how the body utilizes blood sugar (glucose). The cells that make up the muscles and tissues rely heavily on glucose as a source of energy. It serves as the primary fuel for the brain. Each form of diabetes has a different primary etiology.
Diabetes can result in a coma, heart attack, stroke, renal failure, and heart failure. These issues may result in your demise. The main cause of death in persons with diabetes is specifically cardiovascular disease.
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a sure sign that labor is only hours or days away is a. contractions in the upper part of the uterus. b. the bloody show. c. lightening. d. frequent urination.
with a p-value of 0.287, what is the appropriate conclusions to make?
The data do not provide strong enough evidence for rejecting the null hypothesis, with a p-value of 0.287.
The p-value suggests that the chance, for a given applied statistical model that, once the null hypothesis is true, the applied math outline would be adequate or a lot of extreme than the particular ascertained results. In null-hypothesis significance testing, the p-value is that the chance of getting check results a minimum of as extreme because the result really ascertained, beneath the idea that the null hypothesis is correct.
A hypothesis could be a projected clarification for a development. For a hypothesis to be a scientific hypothesis, the methodology needs that one will check it.
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a nurse working on a unit with individuals who have eating disorders is interviewing a new female client. the client has lost a significant amount of weight over the past months and complains of being "sick to my stomach" when around food. the client reports that she hasn't menstruated in 3 months. what is the priority nursing intervention?
The priority nursing intervention such as:
Distributing the customer's newly purchased antidepressant medication
Getting a pregnancy test ordered
Taking part in group activities with the client
Asking an as-needed dose of a stomach distress medicine
What is Menstruation?
Periods, also known as menstruations, are regular vaginal bleeding that take place as part of a female's monthly cycle. Every month, your body prepares for conception. If there is no conception, the uterus, also known as the womb, loses its lining.The menstrual blood is made up of both bloodstream from the uterus.
A monthly egg discharge from one of the ovaries is known as ovulation. Hormonal changes also prepare the uterus for pregnancy at the same time. In the event that ovulation occurs but the egg is not fertilized, the uterine lining sheds through the vagina. It's menstruation right now.
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when the phlebotomist asks for assistance from another phlebotomist working in the lab after two unsuccessful blood draw attempts on a patient, what is being practiced? select one: a. scope of practice b. accurate recordkeeping c. standard of care d. confidentiality previous page
The answer is standard of care. Phlebotomist purpose is to extract blood from the body in the least invasive way possible. They are trained to collect blood via venipuncture.
Standard of care is degree of care and skill of the average health care provider to the patient. So, when phlebotomist is drawing the blood and isn't successful after two tries and finding it difficult to find a vein, the phlebotomist is asking another one to do which he is practicing a high standard of care, this is the consensus of medical care on a patient
The patient is not a pincushion and not be tested by an unprofessional phlebotomist.
It is never accurate to perform more than two unsuccessful blood draw attempts.
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the nurse is receiving report on a client with aki. what should the nurse follow up on first? potassium value of 5.0 meq/l patient refused fingerstick blood glucose crackles throughout lung fields patient reports itching skin
The action that the nurse follows up on the first after receiving a report on a client with AKI is that potassium value of 5.0 meq/l. Thus, the correct option for this question is A.
What is AKI?AKI stands for Acute Kidney Injury. It may be characterized as an abrupt reduction in kidney function, resulting in the retention of urea and other nitrogenous waste products and in the dysregulation of extracellular volume and electrolytes.
According to the options given, an electrolyte of potassium which has a normal value of 5.0 meq/l must be first determined by the nurse in order to deliver the evidence of the report that the patient is able to control the level of electrolyte in the blood or not.
Therefore, the action that the nurse follows up on the first after receiving a report on a client with AKI is that potassium value of 5.0 meq/l. Thus, the correct option for this question is A.
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why are aids drugs like combivir so expensive?
AIDS drugs like Combivir are so expensive because of the Market power of producers.
With the introduction of new drugs like Combivir around the middle of the 1990s, AIDS death rates began to dramatically decrease. The new drugs are great, but they are expensive, and the reason they are expensive is not that they cost a lot to make. Production costs per pill are actually quite low.
For instance, the active ingredients of Combivir can be purchased for approximately $240 on this international generic market, whereas GlaxoSmithKline, the largest manufacturer of HIV medications in the world, sells the drug for approximately $7,000 annually in the United States. A Bombay, India-based manufacturer called Cipla Ltd. claims to be selling a finished generic version of Combivir for just $275.
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true or false? in 2004, the u.s. surgeon general first reported that cigarette smoking is a cause of lung cancer.
In 2004, the u.s. surgeon general first reported that cigarette smoking is a cause of lung cancer. The statement is false.
What are the symptoms of lung cancer ?Lung cancer is a type of cancer that begins in the lungs from different reasons primarily from excess smoking. human lungs are two spongy organs in region of chest that take in oxygen during inhale and release carbon dioxide when you exhale.
Signs and symptoms include A new cough that doesn't go away, Coughing up blood, even a small amount, Shortness of breath, Chest pain, Hoarseness, Losing weight without trying, Bone pain, Headache.
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a 6-month-old child develops a persistent cough and a fever. physical examination and chest x-ray suggest pneumonia. which one of the following organisms is least likely to cause the infection? adenovirus parainfluenza virus respiratory syncytial virus rotavirus
Which of the following organisms is least likely to cause pneumonia infection is rotavirus.
Viruses are pathogenic microorganisms that can only replicate inside cells because they do not have the cellular equipment to reproduce on their own. Viruses are composed of a head containing DNA or RNA, a capsid, virions, and a tail. Viruses are smaller than bacteria, which is around 20-300 nm.
Rotavirus is a virus that infects the intestines so that it can cause diarrheal disease which is commonly experienced by infants and children. Most children up to 5 years of age have had a rotavirus infection. Influenza is caused by influenza virus types A, B, and C which are orthomyxoviruses of the RNA class.
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the nurse assesses a client receiving cisplatin. which question is most important for the nurse to ask?
Many things should be kept in mind while giving cisplatin to a patient.
proper blood and urine test should be performed before giving cisplatin to the patient.
The female who are pregnant can't have cisplatin exposure as it may harm the unborn baby.
Chemotherapy can cause serious allergic reactions including anaphylaxis which can be life threatening and requires immediate medical attention.
The person should be a kidney patient as the cisplatin cause the kidney problem and for kidney patients it may be fatal.
The people with particular infection should be cured before going for a chemotherapy session.
Any medication which is undergoing should be studied first before giving cisplatin.
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a male client in a wheelchair comes in for his yearly physical examination. he is unable to stand. the nurse retrieves the wheelchair scale to obtain an accurate weight. the nurse understands the importance of this assessment with this client. what is the nurse's reasoning for obtaining an accurate weight?
Obesity rates are higher in people with impairments.
Reason: Many customers with disabilities claim that they have not had their weight taken in years because they are unable to stand still while being weighed. Alternative approaches, including as a wheelchair scale, are crucial because obese consumers are more likely to be clients with disabilities.
What is Obesity?
Overweight is the definition of obesity, and obesity is the abnormal or excessive fat buildup that poses a health concern.
Obesity is defined as having a body mass index (BMI) of 30 or higher, whereas overweight is defined as having a BMI of 25 to 30.
Eating habits, physical activity levels, and sleep schedules are just a few of the many variables that might lead to excessive weight gain. Genetics, social factors of health, and using specific medications all have an impact.
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the nurse is caring for a client who has a pressure injury on the back. what nursing intervention would the nurse perform?
If the patient is suffering from pressure injury on the back, the nurse should follow some of the interventions which are listed below.
What is pressure injury?
An area of wounded skin is referred to as a pressure injury, bedsore, pressure ulcer, pressure sore, or decubitus ulcer.
Depending on the stage, pressure injuries can be treated in a variety of methods. The wound needs to be cleaned, typically with a saline solution, after the stage and severity of the wound have been established. Following cleaning, the wound must be maintained clean, moist, and bandaged appropriately. Your doctor may choose from a variety of bandages to cover the wound. These consist of:
Hydrogel, a water-based gel with a dry dressing
Foam bandage
dressing with hydrocolloid
Dressing with alginate (made from seaweed)
Debridement is occasionally required. This procedure removes dead tissue from the incision. Debridement is a critical step in the recovery process. It transforms the wound from one that is chronic and long-lasting to one that is acute and recent.
By closely monitoring the skin and frequently moving those who are unable to turn themselves, pressure injuries can never occur if we follow these steps:
Keeping the skin free of body secretions and clean.
To prevent constant pressure on the body's bony structures, move and reposition the body frequently.
Using pillows and foam wedges can help relieve pressure on the body's bony areas while turned in bed.
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which is a common cause of cervical cancer? multiple choice human papillomavirus uv radiation dietary saturated fat tobacco use all answers are correct.
a community health nurse is providing dressing changes for an older adult woman who has a chronic venous ulcer. when choosing a wound management strategy for this patient, what principle should guide the nurse's care regimen?
Exudate from the wound bed has to be quickly removed is the principle should guide the nurse's care regimen.
Venous ulcers are a chronic, fatal illness that induce agony, anxiety, social isolation, and hopelessness. They can take up to 12 weeks to cure. It has been discovered that after 26 weeks, only around half of ulcers heal despite being the first-line therapy for simple venous ulcers. Debridement is thought to be essential for developing healthy tissue and subsequent healing because venous ulcers develop in a continual accumulation of devitalized, necrotic tissue. Currently, there are six methods of debridement: surgical, which entails the removal of tissue by a surgeon; sharp, which entails the removal of tissue with a sterile scalpel, scissors, or both; mechanical, which entails the removal of tissue using washing solutions, whirlpool therapy, wet-to-dry dressings, and lavage; and sterile, which entails the removal of tissue using sterile instruments.
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a 19-year-old girl who presents to the clinic with complaints of severe, acute chest pain. her father reports that adrian, apart from occasional sinus infections, adrian is not prone to respiratory problems. what potential risk factor is most important to assess with regards to adrian's current problem?
The most important potential risk factor to assess with regards to adrian's current problem is Cocaine use.
What are chest pain symptoms?
Chest pressure, fullness, burning, or tightness. a back, head, chin, elbow, and one or even both arms that hurts intensely or crushingly. Pain that persists for more than a few minutes, worsens with exercise, disappears then reappears, or changes in intensity respiration difficulty.
The following are the primary causes of chest pain:
chest painCardiovascular diseaseDissection of the coronary arteriesPericarditisCardiomyopathy with hypertrophyThe aorta is torn.Coronary aneurysmMitral valve stenosisTherefore, The most important potential risk factor to assess with regards to adrian's current problem is Cocaine use.
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which symptom would the nurse expect to be relieved if a patient has beneficial effects from famotidine?
Heartburn due acid indigestion or sour stomach is expected to be relieved if a patient has beneficial effects from famotidine.
What causes heartburn?When stomach acid backs up into the tube that transports food from your mouth to your stomach, heartburn results (esophagus). The lower esophageal sphincter, a muscle band at the base of the oesophagus, typically relaxes when food is eaten, allowing food and liquid to pass into the stomach.
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the mother of a 7-year-old with a brain tumor has just learned that cancer is now also found in her child’s spine. which response by the nurse addresses the mother’s concerns?
The mother of a 7-year-old with a brain tumor has just learned that cancer is now also found in her child’s spine so response by the nurse addresses the mother’s concerns is "Cancer cells spread by metastasis to distant body sites."
Brain tumor is a cancerous or non-cancerous mass or growth of abnormal cells within the brain. It will begin within the brain, or elsewhere within the body can unfold to the brain. Symptoms embrace sturdy headaches, blurred vision, loss of balance, confusion and seizures. In some cases, there could also be no symptoms. Treatments embrace surgery, radiation and therapy.
The unfold of cancer cells from the place wherever they initial fashioned to a different a part of the body. In metastasis, cancer cells become independent from from the initial (primary) growth, travel through the blood or humor system, and kind a brand new growth in different organs or tissues of the bod.
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at birth, the infant has dry, cracked skin, absence of vernix, lack of subcutaneous fat, fingernail extending beyond the fingertips, and poor skin turgor. based on these findings, how would the nurse would classify this neonate?
The nurse would classify this neonate as the post term neonate.
Babies that are born postterm are those who are 294 days, or 42 weeks, past the commencement of the last menstrual cycle. Postterm newborns have higher rates of morbidity and mortality as compared to term babies.
A postterm baby may seem malnourished and have flaky, peeling, dry skin, particularly if the placenta's function was seriously hampered. There are long fingernails and toenails. The umbilical cord and nails may have a green tint if meconium is present in the amniotic fluid.
It is unknown why some women carry their pregnancies for longer than others. It commonly happens as a result of incorrect conception time.
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client involved in a motor vehicle crash presents to the emergency department with severe internal bleeding. the client is severely hypotensive and unresponsive. the nurse anticipates that which intravenous (iv) solution will most likely be prescribed
5% dextrose in lactated Ringer's intravenous (iv) solution will most likely be prescribed.
Intravenous Nutritional Products are the drug class that includes Lactated Ringers in 5% Dextrose. As a source of calories, electrolytes, and water, Lactated Ringer's and 5% Dextrose Injection, USP administered intravenously is beneficial.130 mEq sodium, 4 mEq potassium, 2.7 mEq calcium, 109 mEq chloride, and 28 mEq lactate are the ionic concentrations in one liter. (Calculated) the osmolarity is 525 mOsmol/L.
Ringer's lactate is generally utilized in a forceful increase in intravascular volume from blood loss or burn injuries; However, in many clinical circumstances, Ringer's lactate is an excellent fluid for aggressive fluid replacement.
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(complete question)
A client involved in a motor vehicle crash presents to the emergency department with severe internal bleeding. The client is severely hypotensive and unresponsive. Does the nurse anticipate that which intravenous (IV) solution will most likely be prescribed to increase intravascular volume, replace immediate blood loss volume, and increase blood pressure?
the nursing instructor is observing a nursing student suctioning a client through a tracheostomy tube. which observation by the nursing instructor indicates an action by the student requiring the need for further instruction?
Suction the ET tube is the observation by the nursing instructor indicates an action by the student requiring the need for further instruction.
Endotracheal suctioning (ETS) is a crucial treatment in critical care units. It requires cleaning the patient's artificial airway of pulmonary secretions.
By covering the thumb hole and inserting a Yankauer catheter, suction may be applied. Yankauer should continue to move while the catheter is moved in a circular motion from the gum line to the throat. encourage the sufferer to cough. The oral mucosa is protected from the suction of the catheter, which otherwise might traumatize the tissues.
In order to remove secretions and reduce the risk of pneumonia, ETT suctioning is generally performed every one to two hours (13). However, due to the serious risks and detrimental effects, suctioning is now only advised when necessary, according to some research.
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