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Exam (elaborations)

NUR 231 Week 2 || with Errorless Answers.

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Risk nursing diagnosis labels related to nutrition include: correct answers Risk for Aspiration Risk for Imbalanced Nutrition: More/Less than Body Requirements Actual nursing diagnosis labels related to nutrition include: correct answers Impaired Swallowing Feeding: Self-Care Deficit Imbalanced Nutrition: More/Less than Body Requirements Health-promotion nursing diagnosis labels related to nutrition include: correct answers Readiness for Enhanced Nutrition Readiness for Enhanced Knowledge Risk correct answers nursing diagnoses apply when there is an increased potential or vulnerability (risk) for a patient to develop a problem or complication, such as a risk for not getting adequate nutrition. Recall that risk nursing diagnoses use the following format: correct answers Risk nursing diagnosis = diagnosis label + risk factors Some examples of complete risk nursing diagnostic statements related to nutrition are: correct answers Risk for Imbalanced Nutrition: Less than Body Requirements with risk factors of chronic nausea and loss of appetite Risk for Aspiration with risk factor of difficulty swallowing secondary to facial paralysis

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Institution
NUR 231
Course
NUR 231

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NUR 231 Week 2 || with Errorless Answers.


Risk nursing diagnosis labels related to nutrition include: correct answers Risk for Aspiration


Risk for Imbalanced Nutrition: More/Less than Body Requirements


Actual nursing diagnosis labels related to nutrition include: correct answers Impaired
Swallowing


Feeding: Self-Care Deficit


Imbalanced Nutrition: More/Less than Body Requirements


Health-promotion nursing diagnosis labels related to nutrition include: correct answers Readiness
for Enhanced Nutrition
Readiness for Enhanced Knowledge


Risk correct answers nursing diagnoses apply when there is an increased potential or
vulnerability (risk) for a patient to develop a problem or complication, such as a risk for not
getting adequate nutrition.


Recall that risk nursing diagnoses use the following format: correct answers Risk nursing
diagnosis = diagnosis label + risk factors


Some examples of complete risk nursing diagnostic statements related to nutrition are: correct
answers Risk for Imbalanced Nutrition: Less than Body Requirements with risk factors of
chronic nausea and loss of appetite
Risk for Aspiration with risk factor of difficulty swallowing secondary to facial paralysis

,Actual correct answers nursing diagnoses apply when there is an actual problem or complication,
such as difficulty swallowing.


Recall that actual nursing diagnoses use the following format: correct answers Actual nursing
diagnosis = diagnosis label + related factors + defining characteristics


Some examples of complete actual nursing diagnostic statements related to nutrition are: correct
answers Impaired Swallowing related to residual effects of neurologic damage secondary to
cerebrovascular accident, as evidenced by gagging and choking with oral intake attempts


Feeding: Self-Care Deficit related to sensory and motor deficits secondary to spinal cord injury,
as evidenced by bilateral upper-extremity paralysis and an inability to self-feed


Imbalanced Nutrition: Less than Body Requirements related to inadequate dietary intake, as
evidenced by cachectic (physically wasted) appearance and 40-lb weight loss in past 6 months


Imbalanced Nutrition: More than Body Requirements related to daily intake of excessive number
of calories, as evidenced by weight gain of 5 lb over a week


Health Promotion correct answers nursing diagnoses are used in situations in which the patient
expresses interest in improving their health status through a positive change in behavior, such as
desire to eat a healthier diet.


Recall that health-promotion nursing diagnoses use the following format: correct answers
Health-promotion nursing diagnosis = diagnosis label + defining characteristics


Some examples of complete health-promotion nursing diagnostic statements related to nutrition
are: correct answers Readiness for Enhanced Nutrition as evidenced by expression of desire for a
balanced, healthy dietary intake and verbalization of American Diabetic Association nutritional
guidelines
Readiness for Enhanced Knowledge as evidenced by patient requesting written materials about
healthy food choices

,Risk for Aspiration correct answers Nursing Diagnosis


Risk for Aspiration with risk factor of difficulty swallowing secondary to facial paralysis


Measurable Patient-Centered Goal


Patient will not exhibit any signs or symptoms of aspiration during this hospitalization (e.g.,
lungs clear, respiratory rate within normal range for patient).


Feed: Self Care Deficit correct answers Nursing Diagnosis


Feeding: Self-Care Deficit related to sensory and motor deficits secondary to spinal cord injury,
as evidenced by bilateral upper-extremity paralysis and an inability to self-feed


Measurable Patient-Centered Goal


Patient will demonstrate the ability to use assistive devices for self-feeding before discharge.


Imbalanced nutrition: less than body requirements correct answers Nursing Diagnosis


Imbalanced Nutrition: Less than Body Requirements related to inadequate dietary intake, as
evidenced by cachectic appearance and 40-lb weight loss in past 6 months


Measurable Patient-Centered Goal


Patient will gain 1 to 2 lbs each week until weight is within normal range.

, Imbalanced nutrition: more than body requirements correct answers Nursing Diagnosis


Imbalanced Nutrition: More than Body Requirements related to daily intake of excessive number
of calories, as evidenced by weight gain of 5 lb over a week


Measurable Patient-Centered Goal


Patient will identify factors related to obesity before discharge.


Readiness for enhanced nutrition correct answers Nursing Diagnosis


Readiness for Enhanced Nutrition related to expression of desire for a balanced, healthy dietary
intake and verbalization of American Diabetic Association nutritional guidelines


Measurable Patient-Centered Goal


Patient will demonstrate awareness of balanced, nutrient-rich food options for self-cooked meals
by selecting these items from a list before discharge to home.


Patient-centered nutritional goals and dietary care plans correct answers most effective if the
patient���s individual dietary preferences and cultural and religious nutritional needs are
considered.


Registered Dietician correct answers A registered dietitian is helpful in providing nutritional
education and services that address the psychosocial and economic factors that impact nutrition.


Case Manager correct answers responsible for coordinating timely, cost-effective services such
as provision of durable medical equipment, infusion therapy, transportation, and follow-up care
after discharge.

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Institution
NUR 231
Course
NUR 231

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