A 68-year-old patient with a history of hypertension and obesity…

SuperHumanTeam11268 A 68-year-old patient with a history of hypertension and obesity…A 68-year-old patient with a history of hypertension and obesity had a myocardial infarction (MI) 3 months ago. His physician has placed him on a 2000-calorie low-salt diet, but the patient is struggling to be compliant with the dietary changes. He continues to manage his Italian restaurant; he loves to cook, sample the menu, and entertain his guests with huge portions. At his 3-month check, he has lost 2 lb. His blood pressure remains 148/90 mm Hg, and he has bilateral ankle edema. What methods of assistance would be helpful for this patient?A student nurse is assigned to spend 2 clinical days with a school nurse in a rural area. The nurse is working with the physical education and health teachers to implement a FUN (fitness-upgrade-nutrition) program for school and after-school programs. While the nurse performs physical assessments to screen for malnutrition, the student has been providing confidential body mass index (BMI) calculations for the children’s parents. The student wonders how anyone could be malnourished with a BMI over 25. The nurse wants to highlight a mineral for each grade’s poster project. What would be some suggestions for kindergarten?A student nurse is caring for a 51-year-old female patient admitted with complications related to breast cancer. The student assists with the patient’s calorie count and supplemental feedings. The patient is pleased with her weight gain and increased sense of well-being, but she asks the student why the doctor orders blood tests to determine her nutritional status. “It’s obvious from my weight gain that I’m getting better,” she says. How should the student respond?THINKING QUESTION      A nurse is replacing the nasogastric (NG) tube for a 79-year-old male patient admitted to a skilled care facility. The patient underwent bowel resection, does not have a gag or cough reflex, and is semiconscious. After explaining the procedure to the patient, the nurse carefully measures and inserts the NG tube. The tube placement is checked and an audible “whoosh” is auscultated over the epigastric area. Fluid is withdrawn and the pH result is 5. Is the NG tube properly placed? Explain your answer.A nurse is caring for a 38-year-old male patient admitted with an AIDS-related infection. The patient is receiving total parenteral nutrition (TPN) to improve his nutritional status. Per the physician’s order, the nurse performs fingerstick blood glucose and finds that the patient’s blood glucose level is elevated. After being given a dose of insulin, the patient asks whether he now has diabetes. How should the nurse respond?Discuss age-related changes that affect respiration. What do these changes mean for the health and well-being of older patients?An older patient in a persistent confused state was recently admitted to a nursing home. The home health aide says that the patient insists on feeding himself, and that meals are generally followed by prolonged episodes of coughing and choking. On admission, the patient’s vital signs are normal, but he is restless, irritable, and angry over having to leave home. How would the nurse know that this patient is in respiratory distress?8. An 8-year-old boy was admitted to the urgent care unit with an acute asthmatic episode. Oxygen therapy was ordered for this patient. What precautions should the nurse take in administering oxygen to a patient in acute respiratory distress? 9. A patient develops a broken rib and collapsed left lung (pneumothorax) as a result of an automobile accident. In the emergency department, the doctor inserts a chest tube and connects it to a disposable chest drainage system. What is the purpose of a water-seal compartment in the chest drainage system? What is the nurse’s responsibility in caring for this patient?ScienceHealth ScienceNursing