Charlie is a 29 year old male who has been receiving aggressive chemotherapy for the past 2 months for a type of leukemia. He has lost 16 lbs. due to persistent nausea and vomiting despite the judicious use of anti-nausea/vomiting medications during this time. Charlie is admitted to the medical floor due to dehydration. His physician has decided to start parenteral nutrition via his implanted catheter in order to get Charlie through his next 2 rounds of chemotherapy because his prognosis for a cure is excellent. A consult for nutrition support has been ordered – provide specific recommendations regarding what you would recommend for MNT implementations. MIV @ 120 mL/hr w/20 mEq Kcl. Ht: 5’11” Current weight: 155 lbs. Weight 3 months ago: 175 lbs. Nutrition-focused physical exam: temporal wasting, ribs apparent, prominent bony shoulders, clavicles, and knees. No sign of edema. Current labs: Sodium: 138 (135-145) Potassium: 4.5 (3.5-5.5) Chloride: 104 (99-112) Bicarb: 24 (22-29) Glucose: 96 (65-99) BUN: 9 (8-24) Creatinine: 0.8 (0.6-1.1) WBC: 5 (4-11) Phosphate: 2.6 (2.5-4.5) Mg: 1.6 (1.5-2.5) Triglycerides: 195 (
The irregular network of tubules and vesicles spreading and…
The irregular network of tubules and vesicles spreading and interconnecting in all directions throughout the cytoplasm in a cell is called the:
_____ can be defined as substances such as fats and fatty ac…
_____ can be defined as substances such as fats and fatty acids, oil, or wax that dissolve in alcohol but not in water.
A nurse is assessing a pregnant client with hyperthyroidism….
A nurse is assessing a pregnant client with hyperthyroidism. Which symptom is most concerning?
A nurse is educating a client at risk for preterm labor. Whi…
A nurse is educating a client at risk for preterm labor. Which symptom should prompt immediate evaluation?
A laboring client receives an epidural. Which nursing interv…
A laboring client receives an epidural. Which nursing intervention is a priority after administration?
A preterm infant is at risk for complications due to immatur…
A preterm infant is at risk for complications due to immature organ development. Which condition is most commonly associated with prematurity?
A nurse is educating a newly pregnant client about nutrition…
A nurse is educating a newly pregnant client about nutrition. Which nutrient is most essential in preventing neural tube defects?
A nurse is administering vitamin K to a newborn. What is the…
A nurse is administering vitamin K to a newborn. What is the primary purpose of this injection?
A nurse is managing care for a laboring client who reports u…
A nurse is managing care for a laboring client who reports uncontrolled pain despite an epidural. What is the nurses next priority action?