ALTERED NUTRITION - HESI CASE STUDY PRACTICE EXAM WITH
WELL DETAILED QUESTION & ANSWERS PERFECTLY A+
GRADED WITH RATIONALE
The nurse's assessment findings include right-sided weakness, slurred speech, and dysphagia.
The nurse identifies that Mrs. Rusk is at high risk for several problems.
In developing the nursing plan of care, which problem has the highest priority? CORRECT
ANSWER>>>>Aspiration.
After establishing priorities, the nurse should take which action next in developing Mrs. Rusk's
plan of care? CORRECT ANSWER>>>>Establish goals.
In developing the plan of care, the nurse recognizes that Mrs. Rusk's dysphagia may impact her
fluid and nutritional status.
, The nurse plans interventions related to Mrs. Rusk's dysphagia. To which member of the
interprofessional team should the nurse refer Mrs. Rusk? CORRECT
ANSWER>>>>Speech therapist.
The nurse recognizes that Mrs. Rusk's right-sided weakness is also a factor contributing to her
risk for altered nutrition.
With which member of the interprofessional team should the nurse consult regarding this
problem? CORRECT ANSWER>>>>Occupational therapist.
The speech therapist is consulted and makes a home visit to evaluate Mrs/ Rusk. The therapist
determines that dysphagia precautions are needed. The nurse and the unlicensed assistive
personnel (UAP) arrive at the home shortly after the therapist's evaluation is completed. The
UAP prepares to assist Mrs. Rusk with her noon meal and with her personal care.
What instruction should the nurse provide to the UAP? CORRECT ANSWER>>>>Bathe
the client first and then place the client in a high Fowler's position during and after the meal.
The nurse visits with Mr. Rusk and then observes as the UAP assists Mrs. Rusk with her meal.
The UAP gives Mrs. Rusk a glass of iced tea to drink.
Considering the need for dysphagia precautions, how should the nurse intervene?
CORRECT ANSWER>>>>Instruct the UAP to add a thickening agent to all liquids.
During a home visit a week later, the nurse assesses Mrs. Rusk's nutritional status.
WELL DETAILED QUESTION & ANSWERS PERFECTLY A+
GRADED WITH RATIONALE
The nurse's assessment findings include right-sided weakness, slurred speech, and dysphagia.
The nurse identifies that Mrs. Rusk is at high risk for several problems.
In developing the nursing plan of care, which problem has the highest priority? CORRECT
ANSWER>>>>Aspiration.
After establishing priorities, the nurse should take which action next in developing Mrs. Rusk's
plan of care? CORRECT ANSWER>>>>Establish goals.
In developing the plan of care, the nurse recognizes that Mrs. Rusk's dysphagia may impact her
fluid and nutritional status.
, The nurse plans interventions related to Mrs. Rusk's dysphagia. To which member of the
interprofessional team should the nurse refer Mrs. Rusk? CORRECT
ANSWER>>>>Speech therapist.
The nurse recognizes that Mrs. Rusk's right-sided weakness is also a factor contributing to her
risk for altered nutrition.
With which member of the interprofessional team should the nurse consult regarding this
problem? CORRECT ANSWER>>>>Occupational therapist.
The speech therapist is consulted and makes a home visit to evaluate Mrs/ Rusk. The therapist
determines that dysphagia precautions are needed. The nurse and the unlicensed assistive
personnel (UAP) arrive at the home shortly after the therapist's evaluation is completed. The
UAP prepares to assist Mrs. Rusk with her noon meal and with her personal care.
What instruction should the nurse provide to the UAP? CORRECT ANSWER>>>>Bathe
the client first and then place the client in a high Fowler's position during and after the meal.
The nurse visits with Mr. Rusk and then observes as the UAP assists Mrs. Rusk with her meal.
The UAP gives Mrs. Rusk a glass of iced tea to drink.
Considering the need for dysphagia precautions, how should the nurse intervene?
CORRECT ANSWER>>>>Instruct the UAP to add a thickening agent to all liquids.
During a home visit a week later, the nurse assesses Mrs. Rusk's nutritional status.
