Exam 40: Nursing Management: Nutritional Problems

A 48-year-old man who has just been started on tube feedings of full-strength formula at 100 mL/hr has 6 diarrhea stools the first day.Which action should the nurse plan to take?

A patient hospitalized with chronic heart failure eats only about 50% of each meal and reports "feeling too tired to eat." Which action should the nurse take first?

The nurse is planning care for a patient who is chronically malnourished.Which action is appropriate for the nurse to delegate to unlicensed assistive personnel (UAP)?

A patient is receiving continuous enteral nutrition through a small-bore silicone feeding tube.What should the nurse plan for when this patient has a computed tomography (CT)scan ordered?

Which action should the nurse take first when preparing to teach a frail 79-year-old Hispanic man who lives with an adult daughter about ways to improve nutrition?

A malnourished patient is receiving a parenteral nutrition (PN)infusion containing amino acids and dextrose from a bag that was hung 24 hours ago.The nurse observes that about 50 mL remain in the PN container.Which action is best for the nurse to take?

Which menu choice indicates that the patient is implementing plans to choose high-calorie,high-protein foods?

A 19-year-old female admitted with anorexia nervosa is 5 ft 6 in (163 cm)tall and weighs 88 pounds (41 kg).Laboratory tests reveal hypokalemia and iron-deficiency anemia.Which nursing diagnosis has the highest priority?

When caring for a 63-year-old woman with a soft,silicone nasogastric tube in place for enteral feedings,the nurse will

A 20-year-old female is being admitted for electrolyte disorders of unknown etiology.Which assessment finding is most important to report to the health care provider?

Which of the nurse's assigned patients should be referred to the dietitian for a complete nutritional assessment ?

A patient's peripheral parenteral nutrition (PN)bag is nearly empty and a new PN bag has not arrived yet from the pharmacy.Which intervention is the priority?

A healthy 28-year-old woman patient who weighs 145 pounds (66 kg)asks the nurse about the minimum daily requirement for protein.How many grams of protein will the nurse recommend?

The nurse is caring for a 47-year-old female patient who is comatose and is receiving continuous enteral nutrition through a soft nasogastric tube.The nurse notes the presence of new crackles in the patient's lungs.In which order will the nurse take action? (Put a comma and a space between each answer choice [A,B,C,D].) A) Check the patient's oxygen saturation. B) Notify the patient's health care provider. C) Measure the tube feeding residual volume. D) Stop administering the continuous feeding.

Which action for a patient receiving tube feedings through a percutaneous endoscopic gastrostomy (PEG)may be delegated to a licensed practical/vocational nurse (LPN/LVN)?

After abdominal surgery,a patient with protein calorie malnutrition is receiving parenteral nutrition (PN).Which is the best indicator that the patient is receiving adequate nutrition?

Which finding for a 19-year-old female who is a vegan may indicate the need for cobalamin supplementation?

A severely malnourished patient reports that he is Jewish.The nurse's initial action to meet his nutritional needs will be to

A 48-year-old woman has a body mass index (BMI)of 31 kg/m²,a normal C-reactive protein level,and low serum transferrin and albumin levels.The nurse will plan patient teaching to increase the patient's intake of foods that are high in

A 60-year-old man who is hospitalized with an abdominal wound infection has only been eating about 50% of meals and states,"Nothing on the menu sounds good." Which action by the nurse will be most effective in improving the patient's oral intake?