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Enteral Nutrition Case Study (20 points total): The remaining questions are related to the following case study.  Todd is a 39-year-old male on the neurology floor at a local medical center. He was admitted after going to the ER because of confusion, disorientation, and difficulty talking. He was diagnosed as having had a severe stroke. He is paralyzed on the right side. He is currently NPO with an IV running at 115 mL/hour. The speech pathologist has conducted a swallow study and is recommending that he remain NPO because he is at a high risk for aspiration and suggest alternate route of nutrition. Today is hospital day 5. A nutrition support consult is ordered because he will be going to a rehab center in 3 days.   Ht: 5’ 8”           Current Wt: 180 lbs. (200 lbs. 5 months ago – intentional weight loss)         Vital signs:  Blood pressure: 125/82       Temperature: 98.6°   Past Medical History: hypertension, hernia surgery Labs: Na+: 138 (135-145)   K+: 3.9 (3.5-5.5)   Cl: 98 (95-105)    Glucose: 120 (70-99)   BUN: 12 (8-18)          Creatinine: 0.8 (0.6-1.2)                    WBC:  11 (3.5-10)     GFR: 120 (>90)         Hemoglobin: 14 (13.5-17.5)   Nutrition history: B: coffee (~10 oz) with ~2 tbsp. whole milk. 2 whole grain waffles with fresh fruit. L: large salad (1 c of mixed lettuce, cucumbers, tomatoes, artichokes & carrots) with ~4 ounces of chicken, salmon or shrimp. 1 Tbsp dressing. Salad has lots of colorful veggies. Large unsweetened iced tea to drink (32 oz). Snack: Large apple or pear; large unsweetened iced tea (32 oz). D: ~6 oz. of grilled chicken, fish or lean meat; large salad w/lots of veggies (tomatoes, cucumber, carrots, broccoli, asparagus; 1 Tbsp dressing; small baked potato and large unsweetened iced tea to drink (12 oz). Evening snack: Typically will have 3 cups of fat-free popcorn and large unsweetened ice tea (20 oz).  1. Would you start enteral nutrition support at this time – state why or why not? (5 points) 2. Complete a nutrition assessment paragraph (6 points)  3. Complete a nutrition prescription (8 points). Record your answer so you have it accessible for questions to follow.       Energy requirements:      Protein requirements:      Fluid requirements:      Any micronutrient concerns: 4. Complete 2 PES statements (6 points):  Refer to terminology sheet and use correct language P:   E: S: P: E: S:   

The following argument is faulty, containing one or more of these errors in reasoning: generalization stereotyping incorrect (small) sampling post hoc ad hominem slippery slope evasion (and red herring) either-or fallacy false analogy strawman two wrongs make a right Identify and explain the problem(s) in this argument: Three WTMC students taking the same section of PSY 100 conducted a research study in which they surveyed 31 of their Middle College classmates about their drug and alcohol use.  They presented their findings to their WCC class with a report titled “WCC Student Drug and Alcohol Abuse Well Below the National Average.”

One of the defects of financial responsibility laws include which of the following? I.   Accident victims may not be fully compensated for their injuries. II.  The laws only apply only to property damage losses, not to bodily injury claims.

High risk drivers who cannot obtain insurance in he voluntary (standard) market can purchase insurance through the 

Disadvantages of automobile insurance plans include which of the following? I.  High premiums may cause many high-risk drivers to go uninsured. II. Large underwriting profits have resulted in high-risk drivers subsidizing the cost of insurance for good drivers.

In the figure below, which letter represents the celiac ganglion (one of the four major prevertebral ganglia)?

From which plexus does the femoral nerve arise?

Inability to control eyeball movement may indicate damage to which cranial nerve(s)? 1. trochlear IV2. optic II3. oculomotor III4. trigeminal V5. abducens VI

Which of the following is a connective tissue covering which holds nerve fibers together into fascicles?

You receive a patient who is complaining of left shoulder pain. However, the order is to do a right shoulder simulation. How should you proceed?