Why is it important that the nurse gathers a nutrition history?
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Collection of a diet history allows the nurse to analyze data regarding the
type and quantity of foods consumed, establish baseline values for
identifying any health problems that may adversely affect the patient's
nutritional status, and identify the need for nursing interventions.
Fat
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, source of "fatty" acid necessary for growth and development, deficiency
effects all cellular membranes and is particularly a problem with premature
infants
Prealbumin level
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Measure of the amount of protein contained in the internal organs(good
measurement of past couple of days).
Appropriate approaches used by the long-term care nurse to provide education for a
73 year old who has just been diagnosed with diabetes include which of the
following? (Select all that apply.)
A.Schedule a visit by another resident who is diabetic.
B.Demonstrate food choices using food photographs.
C.Avoid discussion of the patient's favorite foods.
D. Remind the patient that a lot of damage has already occurred.
E. Encourage the patient's family to participate in teaching sessions.
F. Ask the patient about past experiences with lifestyle changes.
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A, B, D, F
Strategies to promote learning in older adults include peer teaching, visual
aids, family participation, and relating new learning to past experiences.
Discussion of the patient's favorite foods is needed to determine how old
favorites can be adapted to the new diet. Reminders about the damage
already done will indicate that the changes are not worth the effort.
, Which action should the nurse take when caring for a patient receiving a continuous
enteral feeding through a percutaneous endoscopic gastrostomy (PEG) tube if the
feeding tube becomes occluded?
a. Use 15 mL of cranberry juice in a 30-mL syringe to clear the tubing.
b. Ask to have the PEG tube replaced to prevent rupture of the gastrostomy.
c. Flush the PEG tube with 60 mL of cold tap water, using gravity.
d. Try using cola if a 20- to 30-mL warm-water flush is ineffective.
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D
Using cola, which is a carbonated beverage, to try to flush the tube if
flushing with warm water does not work would be the best option. Using
cranberry juice in a small, 30-mL syringe is not recommended and may
cause excessive force on the tube, resulting in rupture. Replacing the tube
would increase the patient's discomfort and should be a last-resort action.
Cold tap water and gravity should not be used, because this measure is
unlikely to be effective owing to the lack of even, gentle force needed to
clear the occlusion, and because cold water may cause abdominal
cramping if it reaches the stomach.
Micronutrients
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minerals, vitamins
Minerals
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Collection of a diet history allows the nurse to analyze data regarding the
type and quantity of foods consumed, establish baseline values for
identifying any health problems that may adversely affect the patient's
nutritional status, and identify the need for nursing interventions.
Fat
Give this one a try later!
, source of "fatty" acid necessary for growth and development, deficiency
effects all cellular membranes and is particularly a problem with premature
infants
Prealbumin level
Give this one a try later!
Measure of the amount of protein contained in the internal organs(good
measurement of past couple of days).
Appropriate approaches used by the long-term care nurse to provide education for a
73 year old who has just been diagnosed with diabetes include which of the
following? (Select all that apply.)
A.Schedule a visit by another resident who is diabetic.
B.Demonstrate food choices using food photographs.
C.Avoid discussion of the patient's favorite foods.
D. Remind the patient that a lot of damage has already occurred.
E. Encourage the patient's family to participate in teaching sessions.
F. Ask the patient about past experiences with lifestyle changes.
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A, B, D, F
Strategies to promote learning in older adults include peer teaching, visual
aids, family participation, and relating new learning to past experiences.
Discussion of the patient's favorite foods is needed to determine how old
favorites can be adapted to the new diet. Reminders about the damage
already done will indicate that the changes are not worth the effort.
, Which action should the nurse take when caring for a patient receiving a continuous
enteral feeding through a percutaneous endoscopic gastrostomy (PEG) tube if the
feeding tube becomes occluded?
a. Use 15 mL of cranberry juice in a 30-mL syringe to clear the tubing.
b. Ask to have the PEG tube replaced to prevent rupture of the gastrostomy.
c. Flush the PEG tube with 60 mL of cold tap water, using gravity.
d. Try using cola if a 20- to 30-mL warm-water flush is ineffective.
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D
Using cola, which is a carbonated beverage, to try to flush the tube if
flushing with warm water does not work would be the best option. Using
cranberry juice in a small, 30-mL syringe is not recommended and may
cause excessive force on the tube, resulting in rupture. Replacing the tube
would increase the patient's discomfort and should be a last-resort action.
Cold tap water and gravity should not be used, because this measure is
unlikely to be effective owing to the lack of even, gentle force needed to
clear the occlusion, and because cold water may cause abdominal
cramping if it reaches the stomach.
Micronutrients
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minerals, vitamins
Minerals
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