The head of the bed should be elevated to a high fowler’s position while the client with dysphagia is eating, and it should be kept elevated for at least 1 hour following the meal to reduce the risk for aspiration. Rusk a glass of iced tea to drink. Rusk when she should take the medication, the nurse should obtain what information about the drug? Drug half life D. Instruct the UAP to add a thickening agent to all liquids. Loretta Rusk, a year-old client, is discharged from the hospital after suffering a cerebral vascular accident CVA , often referred to as a stroke.
The clients calculated body mass index D. The skin over the sternum tents when pinched – Rationale: Combining applesauce, which the client likes, but which is not a really high calorie snack, with snacks which contain more calories, best meets the needs of the client. Which intervention should be included in the plan of care to provide the nurse with the most accurate information regarding Mrs. Type of vitamin supplement the client is taking B. Remove the dressing and apply a new sterile dressing D. The nurse obtains a copy of the lab results the next day.
The UAP gives Mrs. The speech therapist is consulted and makes a home visit to evaluate Mrs. The nurse must address the client’s expressed desire to cancel the procedure. This is a therapeutic response, offering support and allowing Mr. The nurse should first advice Mr.
Which member of the interdisciplinary team should the nurse refer Mrs. Rusk if he feels ready to continue – Rationale: To which member of the inter professional team should the nurse refer Mrs.
How should the nurse explain the results of the calorie count to Mr. Rusk that the instructions in her advanced directive cannot be followed if she has a feeding tube C. Continue to monitor the client without infusing any solution through the PEG tube – Rationale: Provide applesauce since she likes it, along with higher evolve hesi case study altered nutrition snacks.
Before the nurse educates Mr. Pancakes with maple syrup C.
HESI RN Case Study Altered Nutrition Flashcards | Quizlet
Types of food the client has eaten within the last 24 hours C. Rusk’s right-sided weakness is also a factor contributing to her risk for altered nutrition. Evolve hesi case study altered nutrition eggs and sausage – Rationale: Rusk as he administers a bolus feeding to Mr.
Before notifying the health care provider of the data reported by the nutritionist, what information is most important for the nurse to obtain? Rusk’s dysphagia may impact her fluid and nutritional status. The clients calculated body mass index D. Your pharmacist and healthcare provider can determine if there is a generic drug that is a safe alternative to the brand name drug. Continue to monitor the client without infusing any solution through the PEG tube.
Rusk states that his wife loves applesauce and asks if this is a good snack choice. The client’s ability to feed herself with her left hand D. Client’s calculated body mass evolve hesi case study altered nutrition. Select all that apply. Remove the dressing and apply a new sterile dressing D. What initial action should the nurse implement? The UAP gives Mrs. Aspiration Aspiration, or the entry of foreign substances such as food or fluids into the lungs, may cause hypoxia or respiratory distress.
How should the nurse explain the results of the calorie count to Mr. Instruct the UAP to add a thickening agent to all liquids. Rusk, who weights pounds, or 57 kilograms, needs a minimum of calories per day to maintain her current weight.
Remind the client that the consent form is already signed D. Daily fat gram intake by the client. Which data best assesses the client’s functional ability related to nutrition?
HESI RN Case Study Altered Nutrition
Which serum lab value reflects Mrs. Do no offer her applesauce because it does not provide very many calories B. Circle the amount of drainage on the initial dressing C. Rusk when she should take the medication, the nurse should obtain what information about the drug?
Altered nutrition hesi case study quizlet
The nurse observes that he is crying. The lips are dry and cracked. Which intervention should be included in evolve hesi case study altered nutrition plan of care to provide the nurse with the most accurate information regarding Mrs. Rusk to feel in control of the situation.
Rusk expresses a lack of readiness to learn, the nurse can obtain further data, such as information about financial resources, which may be impacting his readiness to learn.