Realizing T.W. has special dietary needs, you request a consultation with the registered
dietitian. Describe an optimal diet for T.W.
What will be an ideal response?
Because of severe catabolism, a high-protein, high-calorie diet is necessary for energy and tissue
repair. Daily energy needs are approximately 28 kcal/kg for paraplegics. However, too much protein
can stress his kidneys. The dietitian will adjust his diet to ensure adequate amounts of protein,
carbohydrates, calcium, thiamine, niacin, vitamins B6 and D, magnesium, and zinc.
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A patient's 2:1 parenteral nutrition container infuses before the pharmacy prepares the next container. This places the patient at risk for which complication?
1) Sepsis 2) Pneumothorax 3) Hypoglycemia 4) Thrombophlebitis
The nurse reviews laboratory results for a client and notes that the erythrocyte sedimentation rate (ESR) is 32 mm/hr. What action by the nurse is best?
a. Document the findings and call the health care provider. b. Assess the client for any manifestations of infection or inflammation. c. Review the client's chart to see what me-dications have been given. d. Call the physician and request blood cul-tures and a chest x-ray.
A nonmodifiable risk factor for lung disease is
a. Allergies. b. Smoking. c. Stress. d. Asbestos exposure.
Obesity is a
A. diagnosis covered by the Americans with Disabilities Act. B. problem that originates with unstable mental health. C. lifestyle choice that people cause themselves. D. medical condition with the potential for serious complications.