Question

You are in the emergency room and are admitting a client to the hospital. She has a longstanding history of opioid abuse, is HIV positive, and has hepatitis C. She is estranged from her family and lives in a local YWCA, where she has a hot plate and microwave in her room. The city where she lives has grocery stores only in the suburbs, with the closest being 3.4 miles away from the client's home. She attends a clinic for antiretroviral therapy, which she takes four times daily. Her Medicaid has lapsed because she failed to maintain some paperwork, so she has no insurance at present. Her monthly income is $379 1. List the top five items of assessment you would undertake, prioritized: and rationale for each one: Assessment item, most urgent first Rationale for this choice 2. Predict five findings you might see on this individual, again with rationale: Assessment findines Rationale for prediction 3. What are the risks to this client's health due to nutrition issues? 4. The nurse assesses a client in the clinic and finds the following. Which are abnormal findings? SATA a) BMI 23 b) Losing 100 hairs daily in shower c) Fingernails intact, pale di Consumes estimated 1800 calories daily e) is unable to exercise due to rheumatoid arthritis pain in lower extremities

Answer 1

1.The top five items of assessment are

1.Assess for the level of infection ,blood investigations	The CD4 count can give the intensity of infection
Medication adherence	non adherence can increase the chance of spreading and weaken the patient's health status for recovery.This can also pose a threat of violence because of the abuse
General body assessment or physical examination	To identify any problems associated with skin and other other systems
Focused assessment	Done system wise
Admission assessment	to get complete patients details

2.The findings which can be seen in the patient are

Weight loss	due to inadequate intake ,availability,affordability of the the nutritious diet
Mental changes like depression, anger,loneliness ,anxiety	due to abusive behavior, loss of proper financial support, no family support
Extreme weakness,anemia	because of medication nonadhereance
Changes in oral cavity with formation of a white non removable plaque	a typical indicator of HIV
Isolation	feeling shy to come out with problems for help

3.The risk to the clients health related to nutrition issues are

• Nutrient deficiency
• Inability to tolerate the effect of medication administered for treating underlying conditions
• Extreme fatigue
• Risk for injury due to weakness

4.A BMI of 18.5 to 24.9kg/m² is normal

50 to 100 hair strands loss per day is normal

Paleness in nail is an indicator of certain deficiency.Intact nails are normal but not the paleness.

A calorie of 1800 per day is normal

Rheumatoid arthritis patients will have pain and will not be able to do exercise with pain

Ans:

Ans:finger nails intact, palr