ATI Virtual Simulation: Nutrition
At beginning of client appointment, which should you complete? - ANS--Provide privacy
-Perform hand hygiene
-introduce self
-verify client identity using name and birthday
General survey - ANS--dark circles under eyes
-facial edema
-muscle atrophy
-dry, cracked lips and pale flaky skin
How to keep a dietary log - ANS-record everything you eat and drink for 7 days
Indications Marco might have impaired swallowing - ANS--report feeling something in throat
-small amount of food oozing from side of mouth
-change in tone of voice after swallowing
-increase salivation after eating
-food pocketing in mouth
Liquids that do not need thickener - ANS--cream of mushroom soup
-tomato juice
-buttermilk
Obtain dietary history - ANS--Can you describe your appetite?
-Can you tell me your food preferences?
-What have you eaten in the last 24hrs?
-Do you do your own grocery shopping?
Physical exam - ANS--inspect hair
-check gag reflex
-examine teeth and mouth
-examine fingernails
Potential factors contributing to Marcos weight loss - ANS--altered sense of smell
-weak hand grip
-mouth pain
-fatigue when eating
Safe swallowing - ANS--push tongue against roof of mouth
-swallow twice
Tips for swallowing while at home - ANS-- drink sips of thickened liquids after swallowing
-rest before meals and allow extra time for eating
-moisten your food with sauces and gravies
What should you recommended Marco intake? - ANS-proteins
Where to put spoon - ANS-left side
Which food would you pick to test Marco's swallow ability? - ANS-pudding
Which interventions should the nurse expect the provider to prescribe? - ANS-- daily weights
-occupational therapy
-dietitian consults
-blood albumin and pre- albumin screening
At beginning of client appointment, which should you complete? - ANS--Provide privacy
-Perform hand hygiene
-introduce self
-verify client identity using name and birthday
General survey - ANS--dark circles under eyes
-facial edema
-muscle atrophy
-dry, cracked lips and pale flaky skin
How to keep a dietary log - ANS-record everything you eat and drink for 7 days
Indications Marco might have impaired swallowing - ANS--report feeling something in throat
-small amount of food oozing from side of mouth
-change in tone of voice after swallowing
-increase salivation after eating
-food pocketing in mouth
Liquids that do not need thickener - ANS--cream of mushroom soup
-tomato juice
-buttermilk
Obtain dietary history - ANS--Can you describe your appetite?
-Can you tell me your food preferences?
-What have you eaten in the last 24hrs?
-Do you do your own grocery shopping?
Physical exam - ANS--inspect hair
-check gag reflex
-examine teeth and mouth
-examine fingernails
Potential factors contributing to Marcos weight loss - ANS--altered sense of smell
-weak hand grip
-mouth pain
-fatigue when eating
Safe swallowing - ANS--push tongue against roof of mouth
-swallow twice
Tips for swallowing while at home - ANS-- drink sips of thickened liquids after swallowing
-rest before meals and allow extra time for eating
-moisten your food with sauces and gravies
What should you recommended Marco intake? - ANS-proteins
Where to put spoon - ANS-left side
Which food would you pick to test Marco's swallow ability? - ANS-pudding
Which interventions should the nurse expect the provider to prescribe? - ANS-- daily weights
-occupational therapy
-dietitian consults
-blood albumin and pre- albumin screening
