Ati Comprehensive Predictor Retake Guide 2023/2024 /210 Questions And Answers.
clinical findings of malnutrition - Correct Answer- poor wound
... [Show More] healing
dry hair
irregular blood pressure
weak hand
impaired coordination
how is BMI classified - Correct Answer- healthy weight= 18.5-24.9
over weight= 25-29.9
obese= greater than or equal to 30
negative nitrogen balance - Correct Answer- using protein faster than protein is being
synthesized example starvation or catabolic State Post injury or disease
risk factors for developing osteoporosis - Correct 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 -
Correct 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 - Correct 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 - Correct Answer- restrict fluids if fluid overload
monitor electrolytes serum glucose and weights
Ati Comprehensive Predictor Retake Guide 2023/2024.
monitor respiratory cardiovascular and neurological status
provide water
change formula to isotonic
phenytoin carbamazepine valproic acid Gabapentin - Correct Answer- meds used for
seizures
if a client is taking phenytoin what should a nurse include in the teaching - Correct
Answer- taking medication at the same time everyday to enhance effectiveness
nursing care for phenytoin - Correct Answer- good oral hygiene side effect gingival
hyperplasia schedule routine Dental visits avoid oral contraceptives they decrease
effectiveness when administer does Warfarin and can cause decrease in effectiveness
notify provider patient over-the-counter meds use
vagul nerve stimulatorj - Correct Answer- implanted left chest program to administer
instrument that stimulation of the brain via vagal nerve
patient teaching for vagal nerve stimulator - Correct Answer- can cause temporary
hoarseness cough dyspnea and change your voice
nursing care assist with safe feeding for a patient who has a stroke - Correct Answerconsult speech language pathologist assess swallowing and gag reflex before feeding
upright position swallow with head and neck flex slightly forward food is placed in the
back of the mouth on the unaffected side have suction on standby collaborate with a
dietician to ensure appropriate caloric intake weight loss is common following stroke
nursing actions for patient who had a stroke or has dysphagia - Correct Answer- cheap
and patient NPO position upright High Fowler's position prior to food fluid or Med
Administration
patient teaching for dysphagia and aspiration - Correct Answer- set up right in Flex
head forward when swallowing sit upright for 45 to 60 Minutes following a meal
what type of precaution should a patient with tuberculosis be on - Correct Answer airborne precautions negative air-flow room patient wear surgical masks if being transported. [Show Less]