ATI Virtual Simulation: Nutrition

Which interventions should the nurse expect the provider to prescribe?

- daily weights -occupational therapy -dietitian consults -blood albumin and pre- albumin screening

Tips for swallowing while at home

- drink sips of thickened liquids after swallowing -rest before meals and allow extra time for eating -moisten your food with sauces and gravies

Obtain dietary history

-Can you describe your appetite? -Can you tell me your food preferences? -What have you eaten in the last 24hrs? -Do you do your own grocery shopping?

At beginning of client appointment, which should you complete?

-Provide privacy -Perform hand hygiene -introduce self -verify client identity using name and birthday

Whichs foods will provide complete protein for Marco?

-Wheat bread soaked in strained pea soup -tofu rice pudding -soup with pasta and pureed white beans

Potential factors contributing to Marcos weight loss

-altered sense of smell -weak hand grip -mouth pain -fatigue when eating

Liquids that do not need thickener

-cream of mushroom soup -tomato juice -buttermilk

General survey

-dark circles under eyes -facial edema -muscle atrophy -dry, cracked lips and pale flaky skin

Physical exam

-inspect hair -check gag reflex -examine teeth and mouth -examine fingernails

Safe swallowing

-push tongue against roof of mouth -swallow twice

Indications Marco might have impaired swallowing

-report feeling something in throat -small amount of food oozing from side of mouth -change in tone of voice after swallowing -increase salivation after eating -food pocketing in mouth

Where to put spoon

left side

While marco is coughing

observe that he can clear his throat

What should you recommended Marco intake?

proteins

Which food would you pick to test Marco's swallow ability?

pudding

How to keep a dietary log

record everything you eat and drink for 7 days