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Case Study 1 Sophia Johnson is a 68 year old woman who has been volunteering at the local foodbank during the day and babysitting her three grandkids after school while their single mom works. Lately she’s been feeling extremely fatigued, even on her days off, and Sophia’s daughter finally forced her mom to visit the clinic when she found out Sophia’s vision has gotten blurry and her finger tips have gotten numb. You collect Sophia’s vital signs while she is quietly waiting for the doctor, sitting in the examination room: Temperature (normal range 97-99oF): 98.6oF Blood Pressure (healthy adult 95%): 98% Use Sophia’s vital signs and her symptoms to answer the following questions:  Calculate Sophia’s pulse pressure (PP) (normal range 40-60). Calculate Sophia’s mean arterial pressure (MAP) (normal range 70-100). Including her vital signs and your calculations for PP & MAP, list any of Sophia’s results that are abnormal, including whether they are too high or too low. Considering Sophia’s symptoms and abnormal results, what is a potential diagnosis? Explain your answer with 2-3 sentences!

Case Study 1 Sophia Johnson is a 42 year old woman who has been traveling overseas as a freelance wildlife photographer. She just returned from Malaysia, an equatorial country in southeast Asia, about 5 days ago.  This morning she woke up with an extreme headache, painful joints, and nausea so bad she was even having trouble drinking water.  You collect Sophia’s vital signs while doing triage in the local emergency room: Temperature (normal range 97-99oF): 104.2oF Blood Pressure (healthy adult 95%): 96% Use Sophia’s vital signs and her symptoms to answer the following questions:  Calculate Sophia’s pulse pressure (PP) (normal range 40-60). Calculate Sophia’s mean arterial pressure (MAP) (normal range 70-100). Including her vital signs and your calculations for PP & MAP, list any of Sophia’s results that are abnormal, including whether they are too high or too low. Considering Sophia’s symptoms and abnormal results, what is a potential diagnosis? Explain your answer with 2-3 sentences!

Case Study 4 You are working with the hospital’s nutritionist and have been asked to evaluate a new food item. Review the Nutrition Facts Label below and then answer the following questions.  1. If a patient were to consume the entire container of this food at one time, how many calories would they have eaten?  2. Which type of macromolecule (carbohydrate, protein, lipid) is the major component in this food? Ie. which macromolecule is contributing the most to the total calories?  3. Would this food be a good choice for someone with diabetes mellitus? Briefly explain your answer in 2-3 sentences.

What is one reason a patient might need an enteral tube for feeding or medications?

Which type of feeding is fast, direct into the stomach?

The practical nurse is preparing to perform a bladder irrigation on a client with a urinary catheter. What is the key principle for this procedure?

A client with neurological deficits is receiving continuous enteral feedings via a pump. The practical nurse observes vomiting. What is the most likely related complication?

The practical nurse is caring for a client with malnutrition disorders receiving enteral feedings via a jejunostomy tube. What is a potential complication to monitor?

A child has a serious fungal infection.Order: fluconazole (Diflucan) 100 mg per GT, per day for 10 daysChild’s weight, age: 62 lb; 7 years oldPediatric dose: 7 to 14 mg/kg/dayDrug available: fluconazole (Diflucan) 10 mg / mLIf the doctor’s order is safe, how many mls should be administered per dose? Round according to the rounding rules.

Which type of feeding resembles a normal feeding pattern?