1)What is the correct diagnosis for a client who frequently eats in restaurants
ID: 3517715 • Letter: 1
Question
1)What is the correct diagnosis for a client who frequently eats in restaurants and has the following laboratory findings: Blood pressure level, 135/86 mmHg, fasting blood glucose, 130 mg/dl, total choleasterol, 256 mg/dl, LDL cholesterol, 192 mg/dl, and HDL cholesterol 34 mg/dl?
Limited access to food
Excessive oral food/beverage intake
Impaired ability to prepare foods/meals
Altered nutrition-related laboratory values
2) A client's laboratory tests indicate a glomerular filtration rate of 14 ml/min/1.73m2 (Low), BUN level of 70 mg/dl (High), serum potassium 5.9 mEq/L (High), serum phosphorus 9.6 mg/dL (High). These values are associated with which of the following conditions?
Nephrolithiasis
Nephrotic syndrome
End-stage renal disease
Stage 1 chronic kidney disease
3)Which of the following types of enteral nutrition is recommended for patients who need enteral feeding for more than 4 weeks after undergoing an esophagectomy?
Nasogastric.
Jejunostomy.
Orogastric
Nasojejunal.
Explanation / Answer
1. Altered nutrition related laboratory values.
Normal levels are.
Fasting glucose- less than 100 mg/dL
Blood pressure - 120/80 mm Hg
Cholestrol less than 200mg/dL
LDL should be less than 100mg/dL
HDL more than 60 mg/dL
2. End stage renal disease.
The major diagnosis is a huge decrease in gfr. Nephrolithiasis is simply kidney stones. Nephrotic syndrome is associated with proteinuria. Stage 1 CKD hass a pretty high gfr. Hence answer is end stage renal disease.
3. Jejunostomy
This is because rest routes require passage through resected oesophagus pathway which may be hazardous.
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