Nursing 2025

In 2011 the United States Department of Agriculture (USDA) introduced the “My Plate” initiative, to help Americans make healthy food choices and to be active every day. Recently, new guidelines were released, and the initiative was updated to include, ” MyPlateMyWins !” Initial Discussion Post: Review the following resource: United States Department of Agriculture: ChooseMyPlate .gov. (2015). Older adults. Retrieved from http :// www . choosemyplate .gov/older-adults Mrs. Jenkins is a 70-year-old patient at the primary care provider for a routine visit. As you are gathering data prior to showing her into an examination room, you note her height and weight, of 65 inches and 101 pounds. Calculate Mrs. Jenkins’ BMI and interpret the result. Discuss two additional specific assessments you would perform, and why the information you obtain in these assessments might be a concern to the RN. Based on these assessments: What education would you provide related to this concern? Identify a member of the health care team with whom you would collaborate about this concern. Be sure to use evidence from the assigned text or website, or other professional sources in your answer. Base your initial post on your readings and research

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Topic 5 2025

Case Scenario Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center. Objective Data Height: 68 inches; Weight 134.5 kg BP: 172/96, HR 88, RR 26 Fasting Blood Glucose: 146/mg/dL Total Cholesterol: 250mg/dL Triglycerides: 312 mg/dL HDL: 30 mg/dL Critical Thinking Questions What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not? Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered: Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime. Ranitidine (Zantac) 300 mg PO at bedtime. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime. The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient. Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.) What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

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