Ati comprehensive predictor retake

clinical findings of malnutrition - Answer- poor wound healing dry hair irregular blood pressure weak hand impaired coordination how is BMI classified - Answer- healthy weight= 18.5-24.9 over weight= 25-29.9 obese= greater than or equal to 30 negative nitrogen balance - Answer- using protein faster than protein is being synthesized example starvation or catabolic State Post injury or disease risk factors for developing osteoporosis - Answer- family history inactivity cigarette smoking to avoid complications of enteral feeding such as diarrhea cramping abdominal distension dumping syndrome nausea or vomiting what are your nursing actions - Answer- diarrhea=decrease the flow rate or total volume of the infusion abdominal distention/bloating= instill lower fat formula consider changing the formula instill lactose free formula= nausea&vomitting administer enteral nutrition at room temperature to avoid complications of enteral feeding such as misplacement dislodgement aspiration irritation and leakage irritation of the nose esophagus and clogging of the feeding tube what are your nursing actions - Answer- confirm to placement prior to feedings Elevate head of bed 30 degrees maintain position up for 60 mins flush tubing with 15-30 of warm water Q 4 hours unclog tubing with gentle pressure 32 -50 ml warm water and piston syringe to avoid complications of enteral feeding such as dehydration hyperglycemia electrolyte imbalance fluid overload refeeding syndrome or rapid weight gain what are your nursing actionsh - Answer- restrict fluids if fluid overload monitor electrolytes serum glucose and weights monitor respiratory cardiovascular and neurological status provide water