Exam 13: Promoting Nutrition

The nurse instructs the new orientee to care for the gastrostomy site.Which items does the nurse include in her teaching? (Select all that apply.)

The nurse at a community center is preparing a program for older people at risk for malnutrition who need community resources.Which is the best action for initiating the nurse's program?

After 2 days of administering the patient's continuous nasogastric tube (NGT) feeding at 35 mL/hr successfully, the nurse aspirates 150 mL of formula.Which should the nurse implement first?

The patient is receiving nasointestinal tube feedings by continuous drip from an open system.Which procedure should the nurse use when caring for this patient?

The health care provider prescribes a mechanical soft diet for the patient.Which food selection would the nurse provide for the patient?

The nurse prepares to insert a small-bore feeding tube into a patient.Which step of the procedure does the nurse expect during the insertion?

The nurse is caring for a patient on intermittent gavage tube feedings.Over what period of time should the nurse infuse each feeding?

The health care provider has started the patient on a clear liquid diet.Which item does the nurse provide for the patient?

The patient with impaired swallowing begins to choke while eating.Which action would the nurse implement?

The nurse evaluates the plan of care for a patient who is malnourished.Which assessment finding indicates to the nurse that the plan is effective?

The nurse prepares the patient for discharge to home with instructions to self-administer nasointestinal tube feedings.Which does the nurse include in patient teaching?

The nurse instructs the caregiver to administer the patient's intermittent tube feeding.Which does the nurse include in caregiver teaching? (Select all that apply.)

The nurse inserts a gastric feeding tube into the patient.Which method used by the nurse is most accurate to verify placement of the patient's feeding tube?

The nurse prepares to insert a patient's nasogastric tube (NGT) for tube feedings.Which patient assessment requires the nurse to collaborate with the patient's health care provider before initiating the feeding?

The nurse is planning care for the patient receiving nasogastric tube feedings.What reassessment information would best indicate to the nurse that a successful therapeutic regimen has been established?

A patient with a neurological injury resulting in tremors is learning how to feed himself.Which method would the nurse implement to best facilitate learning?

The nurse prepares a dietary plan for a patient who practices Orthodox Judaism and notes that no Jewish holidays are approaching.What choices does the nurse plan to exclude from the patient's menu?

A patient with a neurological disease has difficulty swallowing.Which does the nurse include in the plan of care?

The nurse cannot advance the small-bore intestinal feeding tube into the patient's oropharynx.What nursing action will facilitate tube advancement without complications?

Before administering a continuous nasointestinal tube (NIT) feeding, the nurse verifies placement of the patient's NIT and flushes it with water.Which step does the nurse perform next?