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vSIM reflective Questions And Answers
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vSIM reflective Questions And AnswersWhat priority problem(s) did you identify for Christopher Parrish -
correct answer ✅1) Nutritional status related to cystic fibrosis (CF);
2) Safe medication administration in a patient with CF;
3) Safety related to tube feeding
What potential problems could arise due to Christopher Parrish's
identified Vitamin D deficiency? - correct answer ✅Hypocalcemia,
bone demineralization, and osteoporosis
Discuss the relationship between pancreatic enzymes, malabsorption,
and CF - correct answer ✅Patients with CF experience a loss of
pancreatic enzymes. This results in a pancreatic inability to absorb fat
and fat-soluble vitamins, including vitamin D. Thus, patients with CF
experience malabsorption and a loss of a positive nutritional state,
including a vitamin D deficiency (among other vitamin deficiencies).
Therefore, nutritional needs for Christopher Parrish (and all patients
with CF) include a high calorie, high fat, and high protein diet.
What are important assessments related to administration of enteral
feedings - correct answer ✅Assessment of placement of enteral
feeding tube by checking tube placement (gastric pH is less than 5;
observe routine chest x-ray to verify placement; check residual prior to
administration of enteral feed while following agency protocol
regarding reinstallation or withholding of feeding.) If medications need
to be administered via enteral feeding tube, the tube should be flushed
with 15-30 mL of sterile or tap water (depending on hospital protocol)
before and after medications are administered. If the patient has more
, vSIM reflective Questions And Answers
than one medication to be administered at a time, they should be
administered one at a time with the tube flushed inbetween
Using Erikson's developmental stages, discuss the importance of peer
relationships/support group with other young adults with cystic fibrosis
- correct answer ✅Christopher Parrish is in Erikson's stage late
adolescence/early adulthood. During this phase, it is important for an
individual to develop and maintain healthy and social relationships.
Therefore, it is vital to encourage Christopher Parrish to reach out for
psychosocial support options provided to CF patients by the medical
team.
Identify potential patient safety issues related to nutritional status in
the care of Christopher Parrish. - correct answer ✅Pancreatic enzymes
are necessary for the digestion and absorption of proteins and fats. CF
patients have pancreatic insufficiency causing inadequate enzyme
secretions. Therefore, pancreatic enzymes must be taken prior to eating
to enhance adequate digestion and absorption of nutrients.
What other interprofessional team members should be involved in
Christopher Parrish's care - correct answer ✅Dietary, case
management/patient navigator, respiratory therapist/pulmonary
rehabilitation, physical therapy (PT) consult, behavioral psychology,
college/dorm student health services (Registered Nurse/Nurse
Practitioner)
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