Cobalamin (vitamin B12) cannot be obtained from foods of plant origin, so the patient will be most at risk for signs of cobalamin deficiency, such as paresthesias, peripheral neuropathy, and anemia. The other symptoms listed are associated with other nutr
Dry, scaly skin
Edema occurs when serum albumin levels and plasma oncotic pressure decrease. The blood pressure and level of consciousness are not directly affected by malnutrition. Food allergies are not an indicator of nutritional status.
Fried chicken with potatoes and gravy
Beef noodle soup and canned corn
Fresh fruit salad with yogurt topping
Baked fish with applesauce
The patient’s C-reactive protein and transferrin levels indicate low protein stores. The BMI is in the obese range, so increasing caloric intake is not indicated. The data do not indicate a need for increased carbohydrate or iron intake.
Loose stools indicate poor absorption of nutrients and indicate a need to slow the feeding rate or decrease the concentration of the feeding. Water should be given when patients receive enteral feedings to prevent dehydration. When a closed enteral feedin
Check gastric residual volumes more frequently.
Discontinue administration of water through the feeding tube.
Change the enteral feeding system and formula every 8 hours.
Slow the infusion rate of the tube feeding.
The gastric residual volume is assessed every 4 to 6 hours to decrease the risk for aspiration. The patient does not need to be positioned on the left side. Bolus feedings can be administered through a PEG tube. An x-ray is obtained immediately after plac
Obtain a daily abdominal x-ray to verify tube placement.
Keep the patient positioned on the left side.
Avoid giving bolus tube feedings through the PEG tube.
Check the gastric residual volume every 4 to 6 hours.
All PN solutions are changed at 24 hours. PN solutions containing dextrose and amino acids require a change in tubing and filter every 72 hours rather than daily. Infusion of the additional 50 mL will increase patient risk for infection. Changing the IV t
Hang a new container of PN and change the IV tubing and filter.
Infuse the remaining 50 mL and then hang a new container of PN.
Add a new container of PN using the current tubing and filter.
Ask the health care provider to clarify the written PN order.
Mild hyperglycemia is expected during the first few days after PN is started and requires ongoing monitoring. Because the glucose elevation is small and expected, notification of the health care provider is not necessary. There is no need to obtain a veno
slow the infusion rate of the PN infusion.
notify the health care provider of the glucose level.
recheck the capillary blood glucose in 4 to 6 hours.
obtain a venous blood glucose specimen.
Because poor wound healing is a possible complication of malnutrition for this patient, normal healing of the incision is an indicator of the effectiveness of the PN in providing adequate nutrition. Blood glucose is monitored to prevent the complications
Fluid intake and output are balanced.
Serum albumin level is 3.5 mg/dL.
Surgical incision is healing normally.
Blood glucose is less than 110 mg/dL.
The patient’s statement that the hospital foods are unappealing indicates that favorite home-cooked foods might improve intake. The other interventions may also help improve the patient’s intake, but the most effective action will be to offer the patient
Have family members bring in favorite foods.
Make a referral to the dietitian.
Order six small meals daily.
Teach the patient about high-calorie foods.
The soft silicone feeding tubes are small in diameter and can easily become clogged unless they are flushed after the nurse checks the residual volume. Either intermittent or continuous feedings can be given. The tubes are less likely to cause mucosal dam
avoid giving medications through the feeding tube.
administer continuous feedings using an infusion pump.
replace the tube every 3 days to avoid mucosal damage.
flush the tubing after checking for residual volumes.
The tube feeding should be shut off 30 to 60 minutes before any procedure requiring the patient to lie flat. Because the CT scan is ordered for diagnosis of patient problems, rescheduling is not usually an option. Prevention, rather than treatment, of asp
Connect the feeding tube to continuous suction during the scan.
Shut the feeding off 30 to 60 minutes before the scan.
Ask the health care provider to reschedule the CT scan.
Send the patient to CT scan with oral suction in case of aspiration.
The recommended daily protein intake is 0.8 to 1 g/kg of body weight, which for this patient is 66 kg ´ 0.8 g = 52.8 or 53 g/day.
The low serum potassium level may cause life-threatening cardiac dysrhythmias, and potassium supplementation is needed rapidly. The other information will also be reported because it suggests that bulimia may be the etiology of the patient’s electrolyte d
The patient’s serum potassium level is 2.9 mEq/L.
The patient has a history of large weight fluctuations.
The patient’s knuckles are macerated.
The patient uses laxatives daily.
LPN/LVN education and scope of practice include actions such as dressing changes and wound care. Patient teaching and complex assessments (such as patient nutrition and hydration status) require registered nurse (RN)–level education and scope of practice.
Assessing the patient’s nutritional status at least weekly
Determining the need for adding water to the feedings
Providing skin care to the area around the tube site
Teaching the patient how to administer tube feedings
너는 정확하게 대답했다.
당신이 잘못 대답했습니다.
너는 시간이 없어.
점수 또는 평점을 저장하려면 로그인하거나 등록해야합니다.
텍스트에 적합한 오디오 언어를 설정하십시오.
단어를 강조 표시하여 학습을 향상시킵니다.
로그인 할 필요없이 퀴즈, 코스 및 플래시 카드를 재생할 수 있습니다. 그러나 점수를 저장하고 퀴즈, 코스 및 플래시 카드를 만들려면 로그인해야합니다. 오디오를 재생하려면 전문 계정에 로그인해야합니다.
학습을 한 차원 높여보십시오. 프로페셔널 계정으로 업그레이드하면 질문을 큰소리로 듣고 다른 많은 혜택을 누릴 수 있습니다.
귀하가 작성한 질문이나 답변에 대한 오디오가 생성됩니다.
많은 사람들이 그들이 배운 것을 듣고 더 잘 배웁니다. 외국어 학습을 위해 우리는 18 개 이상의 언어를 지원했습니다.
지원 언어로는 덴마크어, 네덜란드어, 영어, 프랑스어, 독일어, 아이슬란드 어, 이탈리아어, 일본어, 한국어, 노르웨이어, 폴란드어, 포르투갈어, 루마니아어, 러시아어, 스페인어, 스웨덴어, 터키어, 웨일스 어 등이 있습니다.
또한 단어를 소리내어 읽음으로써 자동 단어 단위 강조 기능을 지원합니다.
Apple App Store에서 볼 Topgrade 응용 프로그램을 선택하십시오.
Google Play에서 볼 수있는 Topgrade 앱을 선택합니다.