Exam 39: Nutritional Problems

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?

A 76-yr-old woman with a body mass index (BMI)of 17 kg/m² and a low serum albumin level is being admitted by the nurse. Which assessment finding will the nurse expect to find?

A young adult with extensive facial injuries from a motor vehicle crash is receiving tube feedings through a percutaneous endoscopic gastrostomy (PEG). Which action will the nurse include in the plan of care?

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

When caring for a patient with a soft,silicone nasogastric tube in place for enteral feedings,the nurse will

Which action should the nurse take first when preparing to teach a frail 79-yr-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 with a new tubing and filter 24 hours ago. The nurse observes that about 50 mL remain in the PN container. Which action is best for the nurse to take?

A patient 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 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?

A patient 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?

The nurse is caring for a 47-yr-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].)

Which finding for a young adult who follows a vegan diet may indicate the need for cobalamin supplementation?

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)?

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

A healthy adult woman who weighs 145 lb (66 kg)asks the clinic nurse about the minimum daily requirement for protein. How many grams of protein will the nurse recommend?

A patient's capillary blood glucose level is 120 mg/dL 6 hours after the nurse initiated a parenteral nutrition (PN)infusion. The appropriate action by the nurse is to

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

After change-of-shift report,which patient will the nurse assess first?

A 19-yr-old woman admitted with anorexia nervosa is 5 ft,6 in (163 cm)tall and weighs 88 lb (41 kg). Laboratory tests reveal hypokalemia and iron-deficiency anemia. Which patient problem has the highest priority?