Author Question: State nursing interventions for Hazel. ... (Read 17 times)

armygirl · **on:** Aug 19, 2018

State nursing interventions for Hazel.

Question 2

You are assigned to complete nutritional assessments of pregnant women at a family planning clinic. After the examinations and interviews are completed, you will meet with the women as a group to answer questions or to begin prenatal education. You will need to identify the women who are at nutritional risk during pregnancy.

Several women in the group are members of varied cultures. Identify potential dietary problems associated with the different cultures.

karlss · **Reply #1 on:** Aug 19, 2018

Answer to Question 1

Reinforce explanation of dialysis procedure.
Explain dietary restrictions thoroughly.

Maintain asepsis and universal precautions.

Monitor weight closely.

Schedule fluid intake within restrictions.

Monitor for signs of fluid and electrolyte imbalance.

Assess the access site for signs of infection and adequate circulation.

Do not take blood pressure or perform venipuncture on arm with access site.

Skin care frequently to remove urea deposits.

Encourage verbalization of self-concept.

Assist in identifying personal strengths.

Assist client and family members with clarifying expected roles and role changes.

Provide diversions and adequate rest periods.

Monitor for orientation levels.

Answer to Question 2

Chinese: Use of large amounts of grease in cooking; limited use of milk and milk products; diet often low in protein and calories; use of soy sauce, which is high in sodium.
Polish: Sodium in pork, sausage, and pickles; limited fruits and raw vegetables; large consumption of sweets; and a tendency to overcook vegetables.

Italian: Tendency to overcook vegetables; limited use of grains; high use of olive oil; and insufficient servings from milk groups.

Hispanic: Limited meats, milk, and milk products; average use of sugar; and large amounts of grease or lard.

Japanese: Excess use of sodium from soy sauce, pickles, salty seaweed, and monosodium glutamate (MSG); and insufficient use of milk.

African American: Extensive use of frying foods with shortening or oils; high consumption of gravies, salt pork, bacon drippings, or lard; limited milk; and excess intake of sugars.