Assess area of skin to be used as puncture site Show Explain procedure and purpose to patient and/or family Check code on test strip vial Clean puncture site with antiseptic solution Gently squeeze fingertip until a drop of blood appears Wick blood drop into test strip Read results and document in medical record
Home Subjects Solutions Create Log in Sign up Upgrade to remove ads Only ₩37,125/year
Terms in this set (42)The nurse is learning about the Mini Nutritional Assessment (MNA). What is the highest score on the test? 14 Which test should be performed to confirm the correct placement of a nasogastric (NG) tube? An x-ray study An x-ray study After cardiac surgery, a patient is prescribed a diet to reduce cholesterol. Which amount would be the recommended cholesterol intake in this diet? 100 mg/day Which hang time would be the maximum allowed for enteral feedings in an open system? 8 hours The nurse is caring for a patient diagnosed with hemorrhoids and chronic constipation. Which information would the nurse share with the patient about diet? Select all that apply. Food rich in fiber relieves constipation. Food rich in fiber relieves constipation. The nurse has a new prescription to monitor blood glucose on a patient, so the nurse provides information about the procedure and its purpose to the patient before taking the first measurement. Which phase of the nursing process is represented? Planning Planning A patient is 5 feet 10 inches tall and weighs 70 kg. Which result would be the body mass index (BMI) of the patient? 22.09 Which food item contains gluten and should be avoided in patients with celiac disease? Select all that apply. Wheat Wheat A patient needs enteral feedings via a nasoenteric tube. Which action would not occur during the assessment phase for this patient? Explaining the procedure to the patient Explaining the procedure to the patient For which complication would the nurse be on alert in a patient who is on parenteral nutrition? Select all that apply. Pulmonary aspiration Hyperglycemia A patient who myasthenia gravis has difficulty swallowing. For which complication of dysphagia would the nurse be observant? Select all that apply. Aspiration pnemonia Aspiration pnemonia A postoperative patient is prescribed clear liquids. Which fluid would the nurse provide? Select all that apply. Tea Tea A patient is admitted to the hospital poststroke with right-sided hemiplegia. The nurse suspects the patient has dysphagia. Which datum would confirm dysphagia in the patient? Select all that apply. Coughing during eating Coughing during eating Which clinical manifestation is an indication for enteral nutrition? Select all that apply. Severe pancreatitis Difficulty
chewing A patient who lives alone comes to the clinic for a regular checkup. Upon assessment, the nurse finds that the patient has experienced a weight loss of 5 pounds and has a poor nutrition status. The nurse decides to assess the food preferences and dietary intake of this patient. Which question would the nurse ask? Select all that apply. "How do you prepare your food?" "How do you prepare your food?" Which intervention would a nurse perform on a patient who is receiving total parenteral nutrition (TPN) and is displaying symptoms of hypoglycemia? Maintain a constant infusion flow rate. Administer an intravenous (IV) bolus of 50% dextrose. Which action is part of the assessment phase when caring for a patient diagnosed with malnutrition? Determine
the patient's nutritional energy needs. Determine the patient's nutritional energy needs. Which action would be the most important nursing intervention that the nurse would perform on a patient who is diagnosed with ineffective coping related to improper nutrition? Teaching the patient about dietary guidelines Using an active listening approach when talking with the patient The nurse is consulting with a patient about meal planning on an allocated budget. Which advice would the nurse provide to help ensure good nutrition on a budget? Select all that apply. Plan menus a week in advance. Plan menus a week in advance. Which factor contributes to peptic ulcer formation? Spicy foods Heliobacter pylori infection The nurse is assessing a patient receiving enteral feedings via a small-bore nasogastric tube. Which assessment finding requires further intervention? Gastric pH of 4.0 during placement
check Gastric residual aspirate of 350 mL for the second consecutive time Based on knowledge of peptic ulcer disease (PUD), the nurse anticipates the presence of which bacteria when reviewing the laboratory data for a patient suspected of having PUD? Micrococcus Helicobacter pylori Which action taken by the nurse would be the most reliable confirmation of the correct position of a recently placed small-bore feeding tube? Referring the health care provider to prescribe an x-ray film examination to check position Referring the health care provider to prescribe an x-ray film examination to check position During which phase of the nursing process does the nurse consult other health care professionals to adopt the best nursing intervention for a patient diagnosed with nutritional disturbances? Planning Planning Which result would be the body mass index (BMI) of a patient who is 90 kg in weight and 2.0 m tall? 22.5 Which enzyme do the chief cells of the stomach secrete? Secretin Pepsinogen Which nutrient should be supplied to treat a patient who has the malnutrition effect of depressed T-cell distribution? Biotin Folic acid Which enteral formula type consists of milk-based, blended foods and can be prepared by hospital dietary staff or in a patient's home? Polymeric Polymeric Which action would the nurse perform during the planning phase for a patient diagnosed with malnutrition? Determine the patient's satisfaction with the nutritional therapy
Select nursing interventions consistent with the therapeutic diet The nurse observes the assistive personnel (AP) performing the following action for a patient receiving continuous enteral feedings. Which intervention must the nurse address immediately? Fastening the tube to the gown with tape Placing the patient in supine while giving a bath An adult patient has a body mass index of 20 kg/m. Which conclusion regarding the patient's nutrition status would the nurse formulate? Healthy weight Which patient is at high risk of dysphagia? Select all that apply. A patient who coughs during eating A patient who coughs during eating A patient receiving total parenteral nutrition (TPN) asks the nurse why blood glucose is being checked because the patient does not have diabetes. Which response by the nurse is appropriate? "TPN can cause hyperglycemia, and it is important to keep your blood glucose level in an acceptable range." "TPN can cause hyperglycemia, and it is important to keep your blood glucose level in an acceptable range." A patient with hypertension comes to the clinic for a checkup. On assessment, the nurse finds that the patient has experienced a weight loss of 5 pounds and has a poor nutrition status. Which physical sign is indicative of poor nutrition status? Select all that apply. Dry scaly lips Dry scaly lips The nurse is assisting a dysphagic patient with eating. Which action would the nurse avoid? Providing
thick liquids Giving large bites to stimulate the swallow reflex Which complication of dysphagia would the nurse be aware of? Select all that apply. Aspiration pneumonia Aspiration pneumonia The nurse is caring for a patient who is on tube feedings. Which sign and/or symptom suggests intolerance to the feedings? Select all that apply. High gastric residual High gastric
residual Which assessment step is taken to prevent abnormal clotting mechanisms while monitoring blood glucose via skin puncture? Determining if risks exist for performing a skin puncture Avoiding areas of bruising and open lesions when performing the puncture Which intervention indicates a correct technique of nasogastric (NG) feedings? Checking residual volume every 4 hours
Checking residual volume every 4 hours After an assessment of a patient, the nurse finds that the patient is malnourished. Which clinical manifestation would be observed during the patient's assessment? Select all that apply. Body mass index (BMI) of 26 Poor muscle tone A postroke patient suffers from right-sided hemiplegia and dysphagia. Which complication of dysphagia might the nurse observe in the patient? Aspiration pneumonia Aspiration pneumonia Which nursing student statement regarding the physiological components of the immune system indicates a need for further education? "Malnourished skin results in slowed wound healing." "Riboflavin is a vital nutrient for the respiratory system."
Sets with similar termsPotter Chapter 45 Nutrition Adaptive Quizzing37 terms ann2075876 Foundations Chapter 45 Nutrition90 terms jamiemariea Foundations Chapter 45 Nutrition90 terms andreakayef MED SURG FINAL Study Guide68 terms djkosk6 Sets found in the same folderCHAPTER 42 EAQ - STUDY QUESTIONS90 terms KatyCarreon Ch41 EAQ32 terms erin_floyd_coley Chapter 42-EAQ #227 terms alexandria_carter1 Chapter 44 - Nutrition15 terms rkjd3zoo Other sets by this creatorPearson TB - Spinal Cord Injury11 terms sarah_reav Module 19.121 terms sarah_reav Nclex Questions for Shock - Critical Care32 terms sarah_reav Life-Threatening Dysrythmias6 terms sarah_reav Other Quizlet setsGiant Cell Arteritis and Polymyalgia Rhe…24 terms cespos01 ACHT Final35 terms venessaluzPLUS Thorax and Lungs61 terms LOVELLALLAGA23 Psychology 101 chapters 3-6140 terms David_Klym6 Related questionsQUESTION what are the sources of Monosaccharides? 14 answers QUESTION When blood glucose is low, pancreas secretes: 6 answers QUESTION How is the basal metabolic rate (BMR) different from the total metabolic rate (TMR)? 15 answers QUESTION Where do most of the digestive processes occur? 15 answers What are the complications of parenteral nutrition?Complications Associated with Total Parenteral Nutrition. Dehydration and electrolyte Imbalances.. Thrombosis (blood clots). Hyperglycemia (high blood sugars). Hypoglycemia (low blood sugars). Infection.. Liver Failure.. Micronutrient deficiencies (vitamin and minerals). What possible complication does the nurse observe for when administering total parenteral nutrition TPN )?Infection: Infection is probably the most commonly occurring complication associated with total parenteral nutrition.
Which client complications may be caused by the TPN?Complications may include:. Clotting (thrombosis) in central access veins.. Frequent infections in the central-vein access lines.. Inflammation of the gallbladder (cholecystitis). Bone disease (osteoporosis). TPN-induced liver damage or liver failure.. TPN-induced liver failure occurs more often in children than adults.. What is an indication for use of parenteral nutrition in a patient?The principal indication for TPN is a seriously ill patient where enteral feeding is not possible. It may also be used to supplement inadequate oral intake. The successful use of TPN requires proper selection of patients, adequate experience with the technique, and awareness of its complications.
|
For which complication would the nurse be on alert in a patient who is on parenteral nutrition
zusammenhängende Posts
Urheberrechte © © 2024 WIKIFI Inc.
