HESI RN Cases Studies: Altered Nutrition ( LATEST UPDATE 2021/2022)

HESI RN Cases Studies: Altered Nutrition 1. In developing the nursing plan of care, which problem has the highest priority? A. Aspiration B. Skin Breakdown C. Altered nutrition D. Self care deficit 2. After establishing priorities, what action should the nurse take next in developing Mrs. Rusk's plan of care? A. Analyze data B. Establish goals C. Complete an assessment D. Implement interventions 3.The nurse plans interventions related to Mrs. Rusk's dysphagia. Which member of the interdisciplinary team should the nurse refer Mrs. Rusk? A. Case manager B. Speech therapist C. Registered dietician D. Geriatric nurse practitioner 4. With which member of the interdisciplinary team should the nurse consult regarding this problem? A. Bariatrics specialist B. Clinical nutritionist C. Occupational therapist D. Rehabilitation counselor 5. What instruction should the nurse provide the UAP? A. Keep the client in a semi-Fowler's position while bathing her and also while assisting her with her meal B. Help feed the client first and then allow her to rest with the head of the bed lowered for 1 hour before bathing her C. Provide assistance with the meal and then lower the head of the bed to bathe the client and change the bed linens D. Bathe the client first and then place the client in a high Fowler's position during and after the meal. 6. Considering the need for dysphagia precautions, how should the nurse intervene? A. Remind the IAP to keep track of the fluid intake and output B. Advise the UAP to provide all fluids at room temperature C. Instruct the UAP to add a thickening agent to all liquids D. Establish a fluid restriction for the UAP to follow 7. Which data indicates the need for the nurse to evaluate Mrs. Rusk further for altered nutrition? (Select all the apply.) A. The conjunctival sac is pale in appearance when exposed B. Blanching occurs when the fingernail bed is compressed C. The skin over the sternum tents when pinched D. Bowel sounds are auscultated every 5 seconds E. The lips are dry and cracked 8. Which data best assesses the client's functional ability related to nutrition? A. Amount of groceries the client has in the home B. Types of food the client has eaten within the last 24 hours C. The client's ability to feed herself with her left hand D. The husband's schedule for preparing meals 9. In planning care, which intervention should be included to provide the nurse with the most accurate information regarding Mrs. Rusk's ongoing nutritional status? A. Instruct the home health aide to weigh the client once a week B. Obtain a prescription to draw a complete blood count weekly C. Teach Mrs. Rusk how to measure and record her abdominal girth every day D. Advice Mr. Rusk to perform capillary glucose measurements before every meal 10. How should the nurse explain the results of the calorie count to Mr. and Mrs. Rusk? A. Mrs. Rusk is taking in more calories than she needs and may gain weight B. Mrs. Rusk is consuming an adequate number of calories for her height C. Mrs. Rusk's calorie consumption is insufficient and will result in weight loss D. Since Mrs. Rusk's activity is limited, her caloric intake is sufficient to meet her needs 11. Before notifying the health care provider of the data reported by the nutritionist, what information is most important for the nurse to obtain? A. Type of vitamin supplement the client is taking B. Percent of diet composed of carbohydrates C. The clients calculated body mass index D. Daily fat gram intake by the client 12. Which serum lab value reflects Mrs. Rusk's altered nutrition? A. Sodium of 144 mEq/L B. Calcium of 9.5 mg/dl C. Potassium of 3.8 mEq/L D. Protein of 5.0 g/dl