Reference no: EM132263662

Discussion Assignment -

Discussion 1 - Reflection

For this discussion, we have questions on fluid and electrolytes. Please read through the questions and answer the questions thoroughly. Please use your books and peer reviewed sources (online or text) and answer the questions in this discussion.

Linking the exemplar of fluid and electrolyte imbalance with the concept of cognition:

Question 1 - What impact do you anticipate a fluid and electrolyte imbalance may have on an older client's cognition?

Question 2 - What expected outcomes are appropriate for the client with confusion and hyperkalemia?

Linking the exemplar of fluid and electrolyte imbalance with the concept of elimination:

Question 3 - You are caring for a client with acute nausea, vomiting, and diarrhea. What impact do you anticipate this having on the client's fluid and electrolyte balance and how can you minimize this impact?

Discussion 2 - Reflect: The Concept of Nutrition

Case Study, Part A

Stacy Carpenter is a 9-year-old Hispanic female who is seen in the pediatric clinic today for a well-child checkup because she wants to play softball in the fall. Stacy weighs 120 pounds, which places her at the 120th percentile for weight. She is 55 inches tall. Stacy's blood pressure is 130/90 mmHg and her heart rate is 90 bpm at rest. Stacy's mother is visibly overweight. Stacy's mother knows that obesity is a problem in many school-aged children today and asks for help in changing Stacy's diet, lifestyle, and weight loss strategies. The nurse asks Stacy to do a quick 24-hour food recall. Stacy identifies the following:

• Breakfast: two Pop Tarts, glass of chocolate milk, and one glazed donut.
• Lunch: two slices of pepperoni pizza and two breadsticks, one serving of canned peaches, a bottle of fruit juice, and a sugar cookie for dessert.
• Supper: three chicken enchiladas, Mexican rice, refried beans, chips and salsa, and two sopapillas.

When the nurse asks about exercise. Stacy says she really does not do any exercising except for recess at school.

Question 1 - In evaluating Stacy's diet, what findings would concern the nurse the most?

Question 2 - Why might Stacy's blood pressure be high?

Question 3 - What role, if any, does Stacy's ethnicity play in her weight problems?

Note - Need 250 words main post + two references + reply to two classmates in 4-5 lines (prepare general).