Course Hero Logo

B ideal body is thestandard gauge for nutritional

Course Hero uses AI to attempt to automatically extract content from documents to surface to you and others so you can study better, e.g., in search results, to enrich docs, and more. This preview shows page 498 - 500 out of 606 pages.

b.ideal body is thestandard gauge for nutritional status.c.clinical judgment is required, along with other indicators.d.the amount of weight change is themain nutritional indicator.ANS: CUse clinical judgment when evaluating muscular patients or patients with large amounts ofedema or ascites, because these physiological states will lead to false overestimation ofthedegree of fatness. BMI alone is not a perfect predictor of overweight or obesity. You gatherweight information in several ways, including usual body weight (UBW), ideal body weight(IBW), actual body weight (ABW), and BMI. A thorough nutritional assessment usuallyrequires thecollection of all of these weight measures. themagnitude and direction of weightchange are more meaningful than standardized weight references when one is dealing withsick or debilitated patients.DIF:CognitiveLevel: ApplicationOBJ:Perform accurate nutritional screening.TOP: Anthropometrics/Body WeightKEY: NursingProcess Step: AssessmentMSC: NCLEX: Physiological Integrity2.The nurse is caring for a patient who requires assistance with eating. thepatient repeatedlyapologizes to thenurse, saying, ―I‘m so sorry. I‘m like a baby. I‘m such a burden since I can‘teven feed myself.‖ What isthemost appropriate strategy for thenurse to use?a.Feed all of thesolid foods first, and then offer liquids.b.Feed thepatient quickly so as not to make thepatient feel like it is taking a greatdeal of time out of thenurse‘s day.c.Minimize conversation so that thepatient can eat faster.d.Appear unhurried, sit at thebedside, and encourage thepatient to feedhimself/herself as much as possible.Stuvia.com - The Marketplace to Buy and Sell your Study MaterialDownloaded by: NurseProfessor | [email protected]Distribution of this document is illegalWant to earn$103 per month?
Stuvia.com - The Marketplace to Buy and Sell your Study MaterialANS: DMeals should be a pleasant event for thepatient. Conversation promotes socialization. Adultswho need help to eat need compassion and understanding. Given theimportance of nutrition inthehealing process, thenurse should use common sense to provide a socially meaningfulmealtime. Feeding thepatient quickly is likely to accentuate his belief that he is a burden.DIF:CognitiveLevel: ApplicationOBJ:Verbalize thesteps used in assisting an adult to eat.TOP: Assisting thePatient with Oral NutritionKEY: NursingProcess Step: ImplementationMSC: NCLEX: Psychosocial Integrity3.What must thenurse do before assisting thepatient with feeding?a.Assess thepatient‘s gag reflex.b.Make sure that theconsistency of thefood is thin.c.Remove thepatient‘s dentures to prevent gagging.d.Prepare thepatient to be fed by a staff member.ANS: AAssess thepatient‘s ability to swallow andthepatient‘s gag reflex. Some patients (those whohave neurological diseases or who are handicapped) have a reduced gag reflex and/ordysphagia, increasing therisk for aspiration. Changes in theconsistency of thediet (thickenedliquids, pureed, soft), swallow training, or alternative means of nutrition are often necessaryand require a speech therapist or a registered dietitian. If thepatient wears dentures, check toensure that they fit well and are clean. This ensures that thepatient is able to chew food andswallow more normally. Patients with any level of independence should not be totally fed by

Upload your study docs or become a

Course Hero member to access this document

Upload your study docs or become a

Course Hero member to access this document

End of preview. Want to read all 606 pages?

Upload your study docs or become a

Course Hero member to access this document

Term
Spring
Professor
MohsenMakhsous
Tags

Newly uploaded documents

Show More

Newly uploaded documents

Show More

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture