University:
Unitek College
Course:
RN 332 | Nutrition, Health And Wellness
Academic year:

2023
Views:

246

Pages:

3
Author:

Quinton Webster

lOMoARcPSD|23780900 RN Nutrition Online Practice 3 Critical Points Pharmacological and Parenteral Therapies Total Parenteral Nutrition: Delayed Availability of Solution  Keep dextrose 10% in water at the bedside in case the solution is unexpectedly ruined, or the next bag is unavailable  This will minimize the risk of hypoglycemia with abrupt changes in dextrose concentrations  To avoid hypoglycemia, an IV of dextrose 10% to 20% in water is administered if the PN solution is unavailable Health Promotion and Maintenance Gastrointestinal Disorders: Teaching Interventions for Dumping Syndrome  Eliminate liquids with meals, for 1 hr prior and following a meal  Liquids between meals  Consume small, frequent meals and a high protein, low fiber, and low to moderate carbohydrate diet Newborn Nutrition: Discharge Teaching About Breast Milk Use and Storage  Do not refreeze thawed milk  Thaw milk in the refrigerator. It can be stored for 24 hr after thawing  It can be maintained in the refrigerated for 24 hr or frozen for 3 months Nutrition Across the Lifespan: Teaching About Reducing Fat Intake  Limit fat intake to 5 oz lOMoARcPSD|23780900  Higher fat options are counted as part of daily calories from solid fats and added sugars (i.e., empty calories)  Includes meats (beef, pork) Reduction of Risk Potential Diabetes Mellitus: Assessing for Somogyi Phenomenon  The Somogyi phenomenon is morning hyperglycemia in response to overnight hypoglycemia  Provide a bedtime snack and monitor blood glucose levels during the nighttime  Appropriate insulin dose prevents this phenomenon Gastrointestinal Disorders: Expected Laboratory Findings of Acute Pancreatitis  Increased serum glucose due to a decrease in insulin production  Decreased blood calcium and magnesium due to fat necrosis with pancreatitis  Increased blood liver enzyme and bilirubin with associated biliary dysfunction Physiological Adaptation Diabetes Mellitus: Counting Carbohydrates  Clients can exchange carbohydrate selections as long as the grams of carbohydrates are the same per serving  The serving size can affect the # of calories consumed  A client consumes a specific amount or servings of carbohydrate at each meal and snack Basic Care and Comfort Cancer and Immunosuppression Disorders: Identifying the Need for Increased Nutrition  Report indications of infections immediately to the provider lOMoARcPSD|23780900  Maintain nutrition  Administer appetite stimulants (to enhance nutrition)

RN Nutrition Online Practice 2019 A

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