Question

Carlos Mancia Physiological Dysfunctional Gastrointestinal Motility - False Status assessment reports no indication of nursing concern. Electrolyte Imbalance - False Status assessment reports no indication of electrolyte imbalance. Fatigue - True Status assessment reports patient expresses fatigue. Impaired Gas Exchange - True Status assessment reports patient with increased secretion. Impaired Mobility - False Status assessment reports no indication of mobility issues. Ineffective Airway Clearance - True Status assessment reports patient with increased secretion. Safety Anxiety - True Status assessment reports patient has fear and concerns. Deficient Knowledge - True Status assessment reports patient needs reminder to wear mask. Fall, Risk for - True Status assessment reports patient connected to IV line and as being fatigued which could result in fall. Fear - True Status assessment reports patient expresses fear. Hypothermia - False Status assessment exhibits signs for fever not hypothermia. Impaired Home Maintenance Management - False Status assessment reports no indication of this nursing dx. Love and belonging Chronic Sorrow - False Patient may be experiencing ACUTE sorrow r/t recent medical diagnosis. Social Isolation, Risk for - True Status assessment of 'if family/visitors come' and being placed on airborne precautions. Esteem Decisional Conflict - False Status assessment reports no indication of decisional conflict. Noncompliance - True Status assessment reports patient needs reminders to wear mask. Self-actualization Readiness for Self-Care Enhancement - rue Status assessment reports patient desire for recovery. Spiritual Distress - False Status assessment reports no indication of spiritual concerns.

Answer 1

The obese patient's symptoms may be attributed to the ineffective use of the skeletal muscle pump due to inactivity, leading to venous pooling. Health concerns related to BMI can lead to specific lifestyle changes and dietary adjustments. Additionally, sensory impairments and physiological dysfunctions require thorough examination and swift medical intervention.

Step-by-step explanation:

The signs and symptoms exhibited by the obese patient, including swollen feet and ankles, fatigue, shortness of breath, and feeling "spaced out," can be related to the function of the skeletal muscle pump. This mechanism helps to return blood from the lower extremities back to the heart. Due to the patient's lack of physical activity and prolonged standing occupation, the skeletal muscle pump is not being used effectively, which can contribute to venous pooling and these manifestations. Increasing physical activity could potentially improve venous return and alleviate some symptoms.

Symptoms such as pins and needles felt in the left arm and leg indicate a sensory system issue, possibly an embolus. Aspirin therapy is initiated to prevent further blood clot formation. This case underscores the importance of a thorough physical examination and rapid medical intervention in detecting and managing physiological dysfunctions.

Regarding nutrition and health concerns, the BMI assessment of a patient helps to categorize their weight and potential health risks associated with it. If a patient is found to be underweight, normal weight, overweight, or in any category of obesity, certain health and nutritional concerns come into play, which may require lifestyle changes and dietary adjustments. Myelofibrosis leading to an enlarged spleen is due to the impaired production in the bone marrow, and acute myelogenous leukemia typically involves the impaired production of erythrocytes. Conditions like thalassemia can cause jaundice due to high levels of bilirubin from excessive destruction of erythrocytes.