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Exam (elaborations)

Christopher Parrish Documentation Assignment;QUESTIONS AND ANSWERS WITH WELL EXPLAINED SOLUTIONS

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Christopher Parrish Documentation Assignment;QUESTIONS AND ANSWERS WITH WELL EXPLAINED SOLUTIONS

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Christopher Parrish

Documentation Assignments
1. Document your focused gastrointestinal and dietary assessment of Christopher
Parrish.
- Obtain vital signs.
- Assess bowel sounds and when last bowel movement occurred.
- When starting the NGT, ensure placement in the stomach. Pull back the
residual as well. Mr. Christopher Parrish needs to be on a high calorie, high
fat, and high carb diet due to his past medical history of cystic fibrosis.
- The patient needs to pick high nutriets dense foods to ensure proper nutrition.
- Keep the head of the bed on semi-fowler’s or fowlers position when giving the
feeding to prevent aspiration.
2. Document two nursing diagnoses for this patient.
- Risk for activity intolerance as evidence by respiratory condition.
- Ineffective airway clearance related to excessive mucus as evidenced by
genetic lung infection.
- Imbalanced nutrition: less than the body requirements
3. Document your priorities for care of this patient.
- Maintening adequate oxygenation.
- Promoting measures to remove pulmonary secretions.
- Emphasizing the importance of adequate fluid and dietary intake, ensuring
adequate nutrition and preventing complications.
4. Describe the age-related considerations you will use when caring for Christopher
Parrish.
- The stress of college as well as the adjustment to moving can put strain on
the patient body and contribute to his weight loss. He also will be harder to
teach because he is not happy being back in the hospital and is not well
educated on his disease.

5. Referring to your feedback log, document the nursing care, including patient
education about nutritional needs and therapy, which you provided to Christopher
Parrish. Include his response.
- Educate the patient about body mass index he asked, What can I do to gain
weight and keep my BMI up since I do try to eat a lot?
- Educate the patient about diagnosis he replied, He wants to learn what all of
these numbers mean in my labs.



From vSim for Nursing | Fundamentals. © Wolters Kluwer
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