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Author Question: Jennifer Johnson is a 53-year-old woman with a history of Crohn's disease and type 2 diabetes. She ... (Read 37 times)

bclement10

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Jennifer Johnson is a 53-year-old woman with a history of Crohn's disease and type 2 diabetes. She had surgery two days ago to remove a portion of her small intestine. Her gastrointestinal tract will not be accessible for 10 to 14 days. She is slightly underweight and moderately malnourished due to her ongoing problems with Crohn's disease.After 10 days, Ms. Johnson's physician decides to taper her nutrition support and advance her to an oral diet. Describe the process.

Question 2

Answer the following questions based on the case study Joseph information below. Joseph ate the following in 1 day: egg McMuffin, coffee with cream, doughnut, Coke, hamburger, French fries, apple, phili-steak Subway sandwich. Which food in Joseph's diet provided empty Calories?
 A) French fries
  B) Coke
  C) Hamburger
  D) Doughnut
  E) All of the above



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carlsona147

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Answer to Question 1

Parenteral infusions are usually tapered off at the same time oral feedings are begun so that the patient's kcalorie and nutrient needs can be met. Clear liquids are generally the first foods offered and include pulp-free fruit juices, soft drinks, and clear broths; small amounts are given initially to determine tolerance. Later feedings include beverages and solid foods that are unlikely to cause discomfort; a low-fat, lactose-free diet may be recommended. If gastrointestinal symptoms (such as nausea, vomiting, bloating, or diarrhea) develop, oral feedings are limited in size or frequency until the intestines adapt. Once about two-thirds to three-fourths of nutrient needs can be provided orally, the TPN can be discontinued. Ms. Johnson's appetite will have to be monitored because her appetite may be suppressed for several weeks after the TPN is terminated.

Answer to Question 2

E





 

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