Hank, a 75-year-old male, is currently residing in a long-te…
Hank, a 75-year-old male, is currently residing in a long-term care facility. He is bed bound after suffering a major stroke 6 months ago. He has a stage III pressure ulcer on his sacrum that developed 3 months ago. Based on the following information, which of the following may be contributing to Hank’s poor wound healing? Ht: 6’ Current wt: 92 kg Labs: Sodium- 138 (135-145) Glucose- 190 (65-99) Potassium- 4.0 (3.5-5.5) BUN- 24 (8-24) Chloride- 108 (99-112) Creatinine- 1.5 (0.6-1.1) Bicarb- 26 (22-29) CRP- 150 (
Read DetailsBased on the following labs, what would you recommend for Mr…
Based on the following labs, what would you recommend for Mr. X a 38-year-old male receiving PN on PN day #4, and why?PN has been running at goal (70 mL/hr) since PN day #2. PN Day #4: Glucose: rising (99 → 205 mg/dL) FS glucose: consistently elevated despite sliding-scale insulin Magnesium: low and trending down (1.5 → 1.3 mg/dL) Phosphate: decreasing (3.5 → 3.0 mg/dL) Temperature: persistent fevers Electrolytes (K, Na, Cl): mostly within range; K lower end of normal
Read DetailsYou have been consulted to provide bolus tube feeding recomm…
You have been consulted to provide bolus tube feeding recommendations for a head-and-neck cancer patient prior to discharge. A PEG tube was placed 2 days ago. What would you do FIRST before sending them home with bolus recommendations?
Read DetailsBased on the following clinical information, what would you…
Based on the following clinical information, what would you recommend for Mr. H, a 65-year-old male admitted to the ICU with septic shock and mechanical ventilation? Nutrition support was initiated 48 hours ago. Current Status: Receiving enteral nutrition at 25 mL/hr (goal rate = 65 mL/hr) Norepinephrine: decreasing from 20 mcg/min to 5 mcg/min over the past 24 hours MAP: stable at 72–78 mmHg Lactate: decreasing (4.5 → 2.0 mmol/L) Abdomen: soft, non-distended No vomiting or signs of feeding intolerance Bowel sounds present Blood glucose: 145–180 mg/dL What is the most appropriate nutrition recommendation?
Read DetailsThe nurse is caring for a client whose prescribed vancomycin…
The nurse is caring for a client whose prescribed vancomycin intravenous twice a day. As the nurse cares for the client they want to evaluate if the client is at risk for toxicity of the drug. Which action should the nurse prioritize at this time?
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