Exam 21: Nutritional Care of Clients With Special Needs

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What feeding techniques should the nurse be aware of prior to feeding Rosa? ​

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Small amounts of food should be placed toward the back of the mouth. Use a slight pressure on the tongue with spoon. Allow the client to help as much as possible by holding the bread, finger foods, and drink (if not too hot). If choking occurs, help her sit up. Do not give food or water while choking. Be aware of choking and the potential need for the Heimlich maneuver. Keep the mouth as clean as possible. ​

What is the term for the instrument used to tube feed through the nose and into the stomach? ​

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C

Acute or chronic illness or surgery can devastate one's nutritional status. Describe the effects. ​

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Fever, nausea, fear, depression, chemotherapy, and radiation can destroy appetite. Vomiting, diarrhea, chemotherapy, radiation, and some medications can reduce or prevent absorption of nutrients. When undergoing diagnostic or surgical procedures, the person has food and fluid restrictions. These restrictions, with reduced nutrient and calorie intake, occur at a time when the nutritional status could have a major impact on the prognosis. ​

Compare the three methods for administering tube feedings. ​

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When a client is on complete bed rest, what special preparations are required? ​

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Extra ____ is needed for wound healing, tissue building, and blood regeneration.​

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In relation to mealtime, what important information should be added to the client's chart? ​

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Describe symptoms and pathology of the dumping syndrome. ​

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Nausea and vomiting have begun. What nursing interventions can be done to relieve or prevent further attacks? ​

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Describe alternate enteral feeding methods when the oral route cannot be used. ​

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Susan is becoming dehydrated. Her B/P is 90/46, pulse 112, and respirations 32. Her urinary output for the past 24 hours is 100 mL. She is in burn shock. Describe the pathology that has resulted in these symptoms. ​

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Describe protein-energy malnutrition (PEM) and the prognosis when experienced by an AIDS client. ​

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Give a nursing diagnosis statement in relation to nutrition. ​

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One of the major complications of tube feedings is aspiration. Define aspiration and nursing measures to prevent the occurrence. ​

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When does the greatest need for fluids occur? Why? ​

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If clients are unable to feed themselves, how should the "feeder" place food in the client's mouth? ​

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Rosa has developed anemia. State causes and dietary recommendations. ​

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What vitamin(s) is (are) essential for proper clotting of the blood in surgery clients? ​

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Constipation can be caused by all of the following EXCEPT _____.

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In preparation for gastrointestinal surgery, a high-residue diet may be ordered for a few days prior to surgery in order to aid in cleansing the colon.

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