Exam 13: Promoting Nutrition

The nurse instructs the patient to self-administer nasointestinal tube feedings at home.Which is the best instruction to include in patient teaching about aspirating the tube?

The nurse is determining whether an order for a nasogastric tube feeding is appropriate.Which patient diagnosis would prevent the nurse from initiating a tube feeding?

The nurse plans care for a patient with impaired swallowing.Which outcome would indicate the priority goal for this patient is being met?

The nurse assesses the patient who receives continuous enteral nutrition through a nasointestinal tube.What is the priority intervention by the nurse if the patient's bowel sounds are inaudible?

The nurse receives a report stating that a new patient has a nutritional deficit.Which physical clinical indicator consistent with a nutritional deficit does the nurse expect to observe in the patient?

The nurse plans care for four patients and assigns patient feeding to nursing assistive personnel (NAP).Which patient does the nurse watch during mealtime?

The nurse prepares to insert a small-bore intestinal feeding tube.Which instruction does the nurse provide to nursing assistive personnel (NAP) to assist with preparation?

The nurse admits a patient who follows the Jewish faith and maintains a kosher diet.Which food should the nurse withhold to maintain the patient's dietary practices in accordance with this faith?

After nursing teaching, which food identified by the patient reflects an understanding of the soft diet?

The nurse assists the patient who had a recent cerebral vascular accident (CVA or stroke) with drinking water, and the patient begins to choke.Which intervention is the best choice to meet the patient's priority need?

The patient receives three different medications through a nasogastric tube (NGT).Which total fluid volume does the nurse anticipate instilling to administer these medications properly?

A patient has not eaten since admission to the long-term care facility 2 days ago.Which is the best initial intervention for the nurse to prevent malnutrition in this patient?

The patient receives a prescription for tube feedings.Which does the nurse implement while inserting a nasogastric tube for this patient?

The nurse aspirates fluid from the nasointestinal tube.Which finding requires the nurse to plan follow-up nursing interventions?

The patient has weakness of the left arm and hand after a stroke.Which is the best nursing intervention to help maintain the patient's self-esteem during feeding?

The nurse prepares to insert a nasointestinal tube into a patient.Which does the nurse implement for proper tube placement?

An older patient has been eating approximately 50% of each meal for several days.Which action does the nurse take to increase the patient's nutritional intake?

The nurse is unable to aspirate any residual volume from the patient who receives intestinal tube feedings at a rate of 200 mL every 6 hours by intermittent gavage.Which action by the nurse is most appropriate?