essay that addresses the following, based on the case scenario
Marian Parker is a 45-year-old woman who is brought to the hospital after an episode of fainting. Ms. Parker states that she has been very tired lately and gets short of breath and fatigues very easily. She also complains of cracks in the corners of her mouth that won’t heal. When asked about her diet, she tells the nurse that she is a “new vegetarian.” She states that she started a vegetarian diet about 4 months ago “to prevent diseases and because animals are unclean.” She acknowledges weight loss since starting the diet but states, “I am healthy because of what I eat and because I am thin.” She refuses foods that contain meat or animal products. Her diet is described as “healthy”; she typically eats beans, rice, breads, and salad. She is not specific about portions, stating, “I eat until I’m full.” Her fluid intake consists of coffee, tea, and water. She does not use drugs or alcohol. She also tells the nurse that her financial resources are very limited. Vital signs and other measurements: BP, 118/76 mm Hg; pulse, 92 beats/min; respirations, 20 breaths/min; temperature, 98.2° F (36.8° C); height, 5 ft. 4 in (162 cm); weight, 110 lb. (50 kg) General observation: Very thin, protruding bony prominence to cheeks and clavicles Skin: Warm, very dry with scaling—especially on arms and legs Hair: Brown, thin, dull, easily plucked Oral cavity: Pink, moist mucous membranes without lesions; teeth present, in good repair; cracks noted in corners of the mouth Eyes: Conjunctivae pale; no drainage or lesions Extremities: Bilaterally equal; extremities thin; a small amount of muscle mass noted; muscle strength 4/5 Which data deviate from normal findings, suggesting a need for further investigation? For which additional information should the nurse ask or assess? Which risk factors for nutritional problems can be identified? With which additional healthcare professionals should you consider collaborating to meet her healthcare needs?
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