A 16-year-old secondary school girl and her mother come to the clinic because the mother is concerned about her daughter's weight. You measure her height and weight and calculate her BMI at 22kg/m². Which of the following is most appropriate considering her BMI? Answers A-D A Inform the mother that her daughter is anorexic B Reassure the mother that she has a normal weight C Counsel the patient about exercise because she is obese D Counsel the patient on diet and exercise because she is obese O O
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- A 56-year old maintenance worker, with a past medical history of insulin dependent diabetes, CHF, and hypertension, presents to the emergency room with lightheadedness, lethargy, and periods of confusion. Patient family members found him unconscious outside. Wife states, “he’s been at it for over a weeknow” Medications: Insulin, Lasix, Digoxin and Vasotec: were:Temperature Pulse Respirations36.7C 118 18On examination, the patient has slurred speech with decreased upper and lower motor strength bilaterally 4/5. While examining the patient, he experienced loss of consciousness that lasted less than half a minute. The nurse, drew labs, administered oxygen via NC, Established IV line access and placed patient on a monitor. Lab resultsVitals on admission Blood Pressure 103/61 Electrolytes – in emergency room Hematocrit –PotassiumSodiumPhosphorus 2.6 mg/dL BicarbonateCalciumCreatinineSerum Osmolarity Glucose38%3.3 mEQ/L147 mEQ/L21 mEq/L 7.6 mg/dL2.4 mg/dL321 mmol/kg 389 mg/dL…A 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…Measure the Intake and Output of Mr. De la Cruz for the 8-Hour shift and give conclusion if Intake & Output is proportionate or not. Case Application: Measuring Intake & Output Mr. dela Cruz is a 67 year old male who has been admitted to the Medical ICU with a diagnosis of congestive heart failure (CHF). He is intubated and attached to a ventilator, with nasogastric tube attached at the L nostril, intravenous fluid (IVF) of D5 LR 1L x 12 hours, and foley catheter draining to a pale straw urine. He is monitored hourly for his vital signs as well as intake & output. Nurse Tina was assigned to take care of Mr. Dela Cruz and the following tasks transpired during her morning shift: After endorsement, Nurse Tina made her rounds to check on Mr. Dela Cruz. She took his vital signs, level of consciousness. His present IVF has a remaining amount of 600 cc & regulated the desired rate. She prepared the medications and osteorized tube feeding (OTF) all due at 8 am. She fed Mr. Dela…
- A patient has a fecal impaction. The nurse correctly adminis-ters an oil-retention enema by: a. Administering a large volume of solution (500–1,000 mL)b. Mixing milk and molasses in equal parts for an enemac. Instructing the patient to retain the enema for at least30 minutesd. Administering the enema while the patient is sitting onthe toilet41. A newborn with esophageal atresia has just returned from surgery to place agastrostomy tube. Which nursing diagnosis will the nurse use to plan the care for thisclient?A. Risk for imbalanced nutritionB. Risk for deficient fluid volumeC. Risk for impaired thermoregulationD. Risk for ineffective gas exchangeGiven these conditions I. Blood glucose levels are very high I1. Excessive thirst is shown II. Glucose is present in the urine in a large amount IV. Decrease urine output In assessing the patient with untreated diabetes mellitus, which one is LEAST to be manifested by the patient? OIV O II
- Briefly discuss about Exercise for special populations diabetes Asthama Chronic obstructive pulmonary disease. Hypertension Cardiac rehabilitation Exercise for older adults & Exercise during pregnancy.Previous Exam Section 1: Item 4 of 75 National Board of Medical Examiners Customized Subject Test Please Wa Mark 5. A 24-year-old woman is brought to the emergency department by her friend because of a 6-hour history of vomiting and difficulty breathing. She has a 10-year history of type 1 diabetes mellitus. She has not had an insulin injection for 24 hours. Her pulse is 100/min, and respirations are 30/min. Physical examination shows lethargy, deep respirations, and dehydration. Laboratory studies show hyperglycemia and metabolic acidosis. Which of the following best describes the activity of the biochemical pathways in this patient's liver? Glycogen Synthesis Gluconeogenesis Glycolysis Fatty Acid Oxidation A) Increased increased increased increased decreased Increased Increased decreased increased Decreased increased increased Decreased decreased increased Decreased decreased decreased Lab Values Calculator Review Help B) C) D) E) F) Ja Next decreased decreased decreased decreased…your client is a 65-year-old Bahraini, obese person, known case of Type 2 Diabetes Mellitus, came to the health center with a big, lacerated wound in his left foot. On assessment his leg was swollen and there was foul smelling, thick yellowish discharge over his wound. He stated that he smokes i pack of cigarettes for the past 10 years. Write three wound assessment that you will carry out for your client. For the toolbar, press ALT+F10 (PC) or ALT+FN+F10 (Mac). 血 ... A V BIUS Paragraph Arial 14px
- A 35-year-old woman with a history of hypertension presents to your cliniccomplaining of low energy and irritability. She reports not following any specificdiet because they have all failed in the past. She does admit to eating outfrequently. This patient does not exercise because her job and her kids are toodemanding. Patient does smoke a half pack of cigarettes per day and consumeslow-calorie, caffeinated and alcoholic drinks most days. Her BMI is 32 kg/m2, andher waist circumference is 38 in (97 cm).• What classification of overweight and obesity is appropriate for this patient?• Does she have other risk factors that may contribute to morbidity and/ormortality?See photo for medicine label. Scenario: You have a 50 pound wether that has been off feed, lethargic with nasaldrainage. You find he has a rectal temperature of 107° F and has labored breathing.After contacting your veterinarian she recommends feelbetterazine, a new antibioticthat would be appropriate for your situation. You drive to her office and pick up abottle. A bottle cost you $100. She is busy with a client so you don’t have a chance tovisit with her about how to administer the product…her office manager assures you thatall the information that you will need is on the label.The product should be administered:A. InternasalB. IntramuscularC. IntervenousD. SubcutaneousThe cost for one treatment for your wether (for product only) would be:A. $5.00B. $25.00C. $100.00D. Unable to determineIf the product is administered today when could you sell the animal?A. One week from todayB. Two weeks from todayC. Three weeks from todayD. One month from todayYou have a sick feeder lamb that…