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Med-Surg: Chapter 60, Care of Patients with Malnutrition: Undernutrition and Obesity
Terms in this set (56)
What would the pH level of aspirated contents be if a patient's feeding tube has moved down to the intestines?
A patient who reports nausea, vomiting, and diarrhea is ruled out for all gastrointestinal disorders. What could be the possible reason for this patient's condition?
-Deficiency of pyridoxine, zinc, and niacin
What solution is commonly used to flush a clogged feeding tube?
What clinical manifestations of refeeding syndrome may appear when tube feeding is started for a patient in a starvation state?
A patient is diagnosed with an enlarged liver and all viral causes have been eliminated. What could be the possible reason for this patient's condition?
-Deficiency of protein
What could be the possible reason for the appearance of petechiae in a patient?
-Deficiency of Vitamin C
A patient was diagnosed with excessive amounts of keratin in the hair follicles. Which deficiency may cause this condition in a patient?
What laboratory test is used to assess a patient's immune function?
-Total lymphocyte count (TLC)
Which potential nutrition deficiency can cause decreased pigmentation of hair?
What is the main characteristic of anorexia nervosa?
How does the nurse accurately calculate a patient's body mass index (BMI)?
-BMI = weight (kg)/height (in meters) 2
Which condition may occur as a result of riboflavin deficiency?
Which method of tube feeding is similar to intravenous (IV) therapy?
Which statement describing the administration of enteral nutrition using the bolus feeding method is accurate?
-A specific amount of enteral product is fed intermittently every 4 hours.
What behaviors are commonly associated with bulimia nervosa? Select all that apply.
-Excessive use of laxatives
Which nutrient deficiency leads to alopecia?
Which food items are consumed by a lacto-ovo-vegetarian?
-Milk, cheese, eggs, and dairy products
Which hormone is responsible for sensitizing insulin?
Which method of administering total enteral nutrition is provided for a patient who requires long-term feeding?
-Enterostomal feeding tube
A patient receiving total parenteral nutrition (TPN) exhibits symptoms of congestive heart failure (CHF) and pulmonary edema. Which complication of TPN is the patient most likely experiencing?
-Fluid volume overload
What quantity of daily sodium intake is typically recommended for Americans who are 60 years of age?
A patient reports a sensation of tingling, tickling, and prickling in the fingers and toes. What does the nurse suspect as the possible reason for this patient's condition?
-Deficiency of vitamin B 12
Which body mass index (BMI) value for a young patient may be of concern?
The nurse provides information to an unlicensed assistive personnel (UAP) about proper feeding techniques for older patients. What should the nurse include in the teaching?
-Provide mouth care before feeding the patient.
Which nutrient supplement should be taken by the patient with swollen, bleeding gums?
Which nursing action focuses on the promotion of nutrition intake for older adult?
-Observe the patient during meals
What assessment finding is commonly seen with marasmus?
-Wastage of body fat
Which nursing intervention is irrelevant in a psychosocial assessment of a patient with malnutrition?
-Determining if the patient has any physical conditions that impair nutrient absorption
What should the nurse first consider prior to initiating total enteral nutrition (TEN) for a terminally ill patient?
-Presence of advanced directive
Which statement describing the administration of drugs through a feeding tube is accurate?
-Drugs must first be deemed compatible with the feeding solution.
The nurse is monitoring a patient who is receiving an intravenous fat emulsion (IVFE) nutritional supplement. What action does the nurse take in the event that the patient develops fever, increased triglycerides, and clotting problems?
-Discontinues the IVFE infusion
What is an appropriate nursing intervention for the care of a patient with malnutrition?
-Provide interventions for comfort
What risks for malnutrition are common in older adult patients living in long-term care facilities? Select all that apply.
An older, malnourished patient who is taking digoxin, ranitidine, and potassium chloride elixir develops a severe case of diarrhea. What does the nurse suspect is a possible cause?
A patient is receiving nutritional supplements to restore nutritional status. What does the nurse do to assess the effectiveness of the supplements for the patient?
-Makes certain the patient is weighed daily at the same time
The nurse is reviewing laboratory results for a patient and notes an elevated hemoglobin level. What may be a potential cause?
An older adult patient living in a health care facility dislikes the food. What may encourage the patient to eat?
-Favorite foods from home
A patient who is receiving total enteral nutrition (TEN) exhibits acute confusion and shallow breathing and says, "I feel weak." As the patient begins to have a generalized seizure, how does the nurse interpret this patient's signs and symptoms?
-This is refeeding syndrome.
Which statement about normal weight considerations for an older adult is true?
-Older patients must maintain a BMI between 23 and 27.
What type of vitamin deficiency is an anemic patient on a vegan diet expected to have?
The nurse obtains a height of 68 in and weight of 202 lb on a patient. What is this patient's body mass index (BMI)?
What dietary recommendations are suggested by the U.S. Department of Agriculture (USDA) for older adults? Select all that apply.
-Include a high-fiber diet in daily meals.
-Reduce cholesterol-containing foods.
-Take daily supplements of calcium and vitamin D.
An older patient has muscle wastage and loss of subcutaneous fat in the extremities. What nutritional intervention does the nurse suggest to the patient and caregiver?
-Include foods rich in calories and proteins.
An older adult patient needs additional dietary protein, but refuses to drink the prescribed liquid protein supplements. Which nursing intervention is most effective in increasing the patient's protein intake?
-Providing protein modular supplements in the form of puddings
A patient reports bleeding while brushing the teeth. The nurse observes swollen gums, multiple small red spots on the patient's skin, and a corkscrew appearance of the hair. The nurse should recommend an increase of what food item in the patient's diet?
The nurse is teaching a class of older adults in the community about engaging in "regular" exercise. What does the nurse advise them?
-"Walking 30 minutes provides the same benefit as long periods of exercise."
Which patient on the medical-surgical unit does the charge nurse assign to the LPN/LVN?
-39-year-old with a jejunal feeding tube who needs elemental feedings administered
The nurse is preparing a diet plan for an Ashkenazi Jewish patient. Which food included in the plan may need to be replaced?
Which is the orexin secreted by the intestines?
Which food items is the nurse likely to discuss excluding from the diet plan for a Mexican American patient? Select all that apply.
A patient with malnutrition begins receiving nutritional support. The nurse assesses the patient a week after the initiation of the feeding and expects what lab value?
-Prealbumin value of 20 mg/dL
An 88-year-old patient weighing 45 kg (99 lb) reports poor eyesight, easy fatigue, and generalized body pain over the past six months. Upon assessment, the nurse finds dry, flaky skin and a poorly healing wound on the patient's back. Which condition does the nurse suspect?
The nurse teaches an unlicensed assistive personnel (UAP) how to accurately measure the height of a patient with scoliosis. Which statement made by the UAP indicates effective learning?
-"I should measure the distance between the patient's patella and heel."
An 87-year-old resident from an extended-care facility has not been eating for several days and is admitted to the hospital with a diagnosis of malnutrition. She has an enteral feeding tube placed in her left nostril. Her medications include digoxin, ranitidine, and potassium chloride elixir. The nurse checks the gastric pH of the feeding tube and obtains a value of 6.0, which may indicate that the feeding tube is in the patient's lungs. Is there another possible explanation for the nurse to consider?
-Yes; the patient is taking ranitidine.
The RN who usually works on the pediatric unit is floated to the GI medical-surgical unit. Which patient is appropriate for the charge nurse to assign to the float nurse?
-20-year-old with anorexia nervosa receiving total parenteral nutrition (TPN) through a central venous line
The home health nurse is visiting an older patient who has a decreased appetite. What does the nurse teach the caregiver about promoting nutritional intake? Select all that apply.
-Avoid hurrying the patient while eating.
-Ensure the patient has toileted and receives mouth care before mealtime.
-Give analgesics and antiemetic drugs at least 1 hour before mealtime.
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