The family member who shops for groceries and cooks will be in control of the patient’s diet, so the nurse will need to ensure that this family member is involved in any teaching or discussion about the patient’s nutritional needs. The other information w
Question the patient about how many meals per day are eaten.
Assure the patient that culturally preferred foods will be included.
Ask the daughter about the patient’s food preferences.
Determine who shops for groceries and prepares the meals.
The patient data suggest aspiration has occurred and rapid assessment and intervention are needed. The other patients should also be assessed as quickly as possible, but the data about them do not suggest any immediately life-threatening complications.
A 30-year-old woman whose gastrostomy tube is plugged after crushed medications were administered.
A 40-year-old woman whose parenteral nutrition infusion bag has 30 minutes of solution left
A 30-year-old man with 4+ generalized pitting edema and severe protein-calorie malnutrition
A 40-year-old man with continuous enteral feedings who has developed pulmonary crackles
Eating small amounts of food frequently throughout the day is less fatiguing and will improve the patient’s ability to take in more nutrients. Teaching the patient may be appropriate, but will not address the patient’s inability to eat more because of fat
Teach the patient about the importance of good nutrition.
Consult with the health care provider about providing parenteral nutrition (PN).
Obtain an order for enteral feedings of liquid nutritional supplements.
Serve multiple small feedings of high-calorie, high-protein foods.
To prevent hypoglycemia, the nurse should infuse a 5% dextrose solution until the next PN bag can be started. Decreasing the rate of the ordered PN infusion is beyond the nurse’s scope of practice. Flushing the line and then waiting for the next bag may l
Decrease the rate of the current PN infusion to 10 mL/hr until the new bag arrives.
Infuse 5% dextrose in water until the new PN bag is delivered from the pharmacy.
Flush the peripheral line with saline and wait until the new PN bag is available.
Monitor the patient’s capillary blood glucose until a new PN bag is hung.
The patient’s hypokalemia may lead to life-threatening cardiac dysrhythmias. The other diagnoses are also appropriate for this patient but are not associated with immediate risk for fatal complications.
Risk for electrolyte imbalance related to eating patterns
Imbalanced nutrition: less than body requirements related to anorexia
Ineffective health maintenance related to body image obsession
Risk for activity intolerance related to anemia
Feeding the patient and assisting with oral intake are included in UAP education and scope of practice. Assessing the patient and assisting the patient in choosing high-nutrition foods require licensed practical/vocational nurse (LPN/LVN)–or registered nu
Assess the patient’s strength while ambulating the patient in the room.
Offer the patient the prescribed nutritional supplement between meals.
Monitor the patient for skin breakdown over the bony prominences.
Assist the patient to choose high-nutrition items from the menu.
The nurse’s first action should be further assessment whether or not the patient follows any specific religious guidelines that impact nutrition. The other actions may also be appropriate, based on the information obtained during the assessment.
have family members bring in food.
order nutrition supplements that are manufactured Kosher.
ask the patient about food preferences.
teach the patient about nutritious Kosher foods.
Weight fluctuations, use of corticosteroids, and draining or infected wounds all suggest that the patient may be at risk for malnutrition. Patients with chest pain or MI are not usually poorly nourished. Although vomiting that lasts 5 days places a patien
A 48-year-old with rheumatoid arthritis who takes prednisone (Deltasone) daily
A 64-year-old who is admitted for débridement of an infected surgical wound
A 35-year-old who complains of intermittent nausea for the past 2 days
A 52-year-old admitted with chest pain and possible myocardial infarction (MI)
A 23-year-old who has a history of fluctuating weight gains and losses
The assessment data indicate that aspiration may have occurred, and the nurse’s first action should be to turn off the tube feeding to avoid further aspiration. The next action should be to check the oxygen saturation because this may indicate the need fo
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너는 시간이 없어.
점수 또는 평점을 저장하려면 로그인하거나 등록해야합니다.
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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.
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