B260 Nutrition Quiz chapt 45 Questions And Answers

A 70-year-old patient is admitted to the hospital post stroke. The patient suffers from right-sided hemiplegia and dysphagia. Which complication of dysphagia might the nurse observe in the patient? 1. Aspiration pneumonia 2. Excess fluid intake 3. Improved nutritional status 4. Weight gain - ANS 1. Aspiration pneumonia Dysphagia may increase the risk of the food getting into the airway while eating. It may get aspirated and lead to aspiration pneumonia. Difficulty in swallowing fluid leads to decreased fluid intake, resulting in dehydration. The inability to swallow may reduce food intake and result in weight loss. p. 1067 A patient needs enteral feedings via a nasoenteric tube. Which action does not take place during the assessment phase for this patient? 1. Explaining the procedure to the patient 2. Examining the abdomen of the patient 3. Asking the patient about food allergies 4. Evaluating the patient's nutritional status - ANS 1. Explaining the procedure to the patient When a patient needs to be administered enteral feedings via nasoenteric tube, the nurse explains the procedure to the patient during the planning phase, not assessment. Examining the patient's abdomen, asking the patient about food allergies, and evaluating the patient's nutritional status takes place during assessment. p. 1090 The nurse is assisting an older adult with dysphagia to eat. What should the nurse avoid? 1. Thick liquids 2. Sitting the patient upright during meal time 3. Giving large bites to stimulate the swallow reflex 4. Keeping the patient upright for 45 to 60 minutes after eating - ANS 3. Giving large bites to stimulate the swallow reflex Bites should be small to help avoid aspiration. Thickened liquids are easy to swallow. The patient should sit upright while eating to prevent aspiration. The patient should remain upright for 45 to 60 minutes after eating to help in gastric emptying and prevent aspiration. p. 1074 The nurse records the assessment findings of a patient. The findings are: Body mass index (BMI) 33, heart rate 72 beats/minute, pale conjunctivas, pink-colored gingiva, and spoon-shaped nails. Which is a sign of good nutrition in this patient? 1. BMI of 33 2. Pale conjunctivas 3. Pink gingiva in the mouth 4. Spoon-shaped nails - ANS 3. Pink gingiva in the mouth Pink gingiva is a sign of good blood circulation. It signifies adequate hemoglobin levels in the blood. A good hemoglobin level indicates a sufficient iron intake, which suggests good nutrition. A BMI of 33 indicates that the patient is obese. A pale conjunctiva is a sign of anemia. Spoon-shaped nails indicate iron-deficiency anemia. Nails should be firm and pink. p. 1067 Which skill should the nurse delegate to nursing assistive personnel when providing care to a patient receiving enteral feedings? 1. Inserting the patient's tube 2. Checking the patient's tube placement 3. Positioning the patient during insertion 4. Aspirating gastric content from the patient - ANS 3. Positioning the patient during insertion The nurse can delegate patient positioning during insertion to the nursing assistive personnel. Tube insertion, checking tube placement, and aspirating gastric content are tasks that nurses and physicians must handle. p. 1085 How often should the nurse change the feeding bag for a patient who is prescribed an intermittent enteral feeding? 1. Every day 2. Every 8 hours 3. Every 12 hours 4. Every other day - ANS 1. Every day