In question 11, you calculated a caloric level for Mrs. C based on her ABW prior to pregnancy. Since she is now in her 27th week of gestation and has gained 20 lbs, would you recommend the same caloric level or a different one? Explain your answer
It would need to be determined if Mrs. C was following the caloric prescription. If she was not and was overeating, the correct action would be to encourage her to reduce her intake to the recommended amount. If she was following her diet exactly and was still gaining weight, the next step would be to determine if the weight gain was due to an increase in tissue weight or to water weight. If it was water weight, the physician would need to take the necessary steps to stop edema and to reduce it. If was not water weight, Mrs. C's caloric requirement has probably been overestimated and would need to be reduced but not to the degree that it becomes a weight reduction diet. It should be reduced to prevent excessive weight gain.
You might also like to view...
A nurse is caring for a patient who is to start antipsychotic drug therapy. In order to best promote adherence to the drug therapy, the nurse will begin by
A) developing a trusting relationship with the patient. B) planning an easy-to-follow drug schedule. C) always administering the medication and not allowing the patient or his family to administer the drug. D) encouraging the patient and family to report adverse effects.
A nurse who reads the local community newspaper to gather information about the commu-nity is involved in:
1. Informant interviews 2. Surveys 3. Participant observation 4. Taking a windshield survey
A licensed practical/vocational nurse is working in a busy medical–surgical unit and wants to prevent nursing burnout. Which steps should the nurse take? Select all that apply
A) Use a close friend who listens so the nurse may vent during times of high stress. B) Work longer hours so all tasks may be accomplished. C) Discuss work-related issues with other nurses and administration to problem solve to make the work environment better. D) Take breaks, use relaxation techniques during the break to help relieve stress. E) Apply for other positions in other institutions.
Which of the following antimigraine drugs is available in parenteral, oral, and inhalation forms?
A. Topamax B. Imitrex C. Tegetrol D. Namenda