Christopher Parrish Documentation Assignments; questions and answers, complete solution

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Christopher Parrish Documentation Assignments 1. Document your focused gastrointestinal and dietary assessment of Christopher Parrish. o Obtain vital signs o Assess bowel sounds and when last bowe... l movement occurred o Assess placement of NG tube—due so before aspirating and flushing o Assess for special diet implemented by doctor (check patient’ understanding) ▪ high calorie, high fat diet o Assess patient’s eating habits ▪ Are they getting the meals they need on a daily basis? o Assess use of vitamins or food supplements o Ensure patient positioning is semi-fowler’s or higher o Check patients understanding of tube feedings, aspiration o Administer medication and fluid nutrition 2. Document two nursing diagnoses for this patient. o Risk for aspiration as evidence by nasal tube and enteral feedings o Risk for activity as evidence by respiratory condition (Cystic Fibrosis) 3. Document your priorities for care of this patient. o Obtain vital signs and assessment of dietary and gastrointestinal o Administer prescribed medication o Administer prescribed fluid nutrition ▪ Check position first then aspirate and flush ▪ Keep at semi-fowler’s or higher to prevent aspiration ▪ Prevent more weight loss o Provide patient education about aspiration, intake/output, BMI, tube feedings, diagnostics and the nutrition importance to prevent malnutrition o Due to his cystic fibrosis, it should also be a priority to keep his SpO2 up —94% or higher 4. Describe the age-related considerations you will use when caring for Christopher Parrish. o This patient is a new adult so it is important to keep him informed on his medical care and let him ask questions. It is important to provide him with the education and give him options. His privacy is still an important factor at this age so it is crucial for the nurse to maintain this. His is in charge of his health now so run everything by him and get documentation stating who information can be realsed to. [Show More]

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