Vsim Parrish

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A patient with a low BMI is found to have low albumin and prealbumin levels. Which of the following nursing actions should be considered?

-monitor input and output for the patient -encourage oral intake of foods and fluids as ordered -request a nutrition consult -assess gastrointestinal function

A nurse is teaching a patient with cystic fibrosis about nutrition in the high-fat, high-protein, high-carbohydrate diet that has been recommended. Which of the following should be included in this education?

It is important to select a variety of nutrient dense foods.

A nurse is assessing a patient with cystic fibrosis. Based on a diagnosis of cystic fibrosis, the nurse expects to find the following common physical symptoms upon assessment?

Cyanosis or pallor, dyspnea, arryhthmias

A provider orders a high-fat, high protein, high carbohydrate diet for a patient with cystic fibrosis. What is the best rationale for this diet order?

Cystic fibrosis interferes with the digestion of food and absorption of nutrients.

The nurse is caring for a patient who appears withdrawn and isolated. What strategy should the nurse use to work with this patient?

Develop a therapeutic, trusting relationship with the patient.

A patient complains of nausea after a tube feeding. What is the priority action of the nurse at this time?

Ensure the head of the bed remains elevated.

A nurse is planning patient education about a prescribed medication for a patient. What should the nurse do first? a. Educate the patient about potential allergic reactions to the medication b. Find out what the patient already knows about the medication c. Educate the patient about potential drug interactions d. Review the signs and symptoms of drug toxicity with the patient.

Find out what the patient already knows about the medication

A patient with cystic fibrosis has five capsules of pancrelipase (amylase, lipase, and protease) ordered to be administered now with his breakfast. The patient is currently experiencing nausea and intermittent vomiting. What should the nurse do with the medication?

Hold the medication until the patient is able to eat again

A patient is concerned about a medication the nurse is administering. The patient states that the medication is not normally something that is administered. What is the best response by the nurse?

I will hold the medication and find out for you.

The nurse plans on assessing the patient's gastrointestinal system. Which statement below reflects the best prioritization of this assessment?

The nurse should auscultate and then palpate the abdomen.

A nurse is assessing an adolescent patient. Which of the following questions best represents therapeutic communication techniques?

What do you hope happens here today?

A patient has just completed a tube feeding that has run throughout the night. What is the best education the nurse can provide the patient at this time?

You should remain upright for the next hour.

A nurse is creating a care plan for a young adult patient with a chronic illness. Which of the following nursing diagnoses might be included in the care plan? Select all that apply. a. social isolation b. caregiver role strain c. activity intolerance d ineffective health maintenance e. risk-prone health behavior

a. social isolation b. ineffective health maintenance c. activity intolerance d. risk-prone health behavior

A nurse is planning on administering a tube feeding to a patient with a nasogastric tube. The patient appears asleep flat in bed. What should the nurse do first?

assist the patient to a semi-fowler's position

A nurse has just finished placing a nasogastric tube into a patient for the purposes of administering feedings. What should the nurse do first

confirm the placement of the nasogastric tube per facility policy

Christopher Parrish has a low body mass index and has lost 12 pounds over the past two weeks. Which method could the nurse use to assess his overall dietary intake in order to provide nutrition education?

obtain a food frequency assessment

A nurse is caring for an 18yo patient who has recently started living on his own and has experienced a greater than 5% weight loss over two weeks. He has a low body mass index and complains of feeling fatigued. According to Maslow's hierarchy of needs, the nurse identifies which of the following as the patient's priority need at this time?

physiologic needs

A nurse is preparing to admit a patient with cystic fibrosis and altered nutrition status. The nurse plans to implement which precautions to be used in the patient's care?

standard precautions


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