2024 HESI Nutrition Proctored Exam 2 Guaranteed A+ Actual Questions and Answers, Complete 100%
- The PN findings include right-sided weakness, slurred speech and dysphagia.
The PN recognizes that Mr.Ivy is at high risk for several problems. In reviewing the previously established nursing plan of care, the PN determines
that which problem has the highest priority?:
Answer:
Aspiration Aspiration or the entry of foreign substances such as food or fluids into the lungs, may cause hypoxia or respiratory distress; this the highest
- After reviewing priorities, what is the next action the PN should take when
adding to Mr. Ivy's plan of care?:
Answer:
Reconsider Goals The PN should first complete the subjective and objective physical findingd, interpret the data to identify problems, and then reevaluate goals. After the goals and expected outcomes are verified, the PN implements interventions, which are then evaluated to determine if the expected outcomes and goals were accomplished
- An interprofessional team meeting is scheduled in the afternoon to discuss
interventions addressing Mr. Ivy's dysphagia. With which member of the interprofessional team should the PN coordinate concerning Mr. Ivy's
dysphagia?:
Answer:
Speech Therapist Speech therapist have expertise in the evaluation and management of clients with dysphagia.
- The PN recognizes that Mr. Ivy's right-sided weakness is also a factor that
contributes to his risk for altered nutrition. With which member of the interprofessional
team should coordinate regarding this problem?:
Answer:
Occupational Therapists 1 / 2
OT have expertise in helping clients adapt fine motor movements for the provision of self care. They can help with placement and manipulation of objects such as eating utensils.
- The speech therapist schedules a home visit to reevaluate Mr.Ivy. The therapist
determines that dysphagia precautions are still needed. The PN and unlicensed assistive personnel (UAP) arrive at the home shortly after the therapist's evaluation is completed. The UAP prepares to assist Mr.Ivy with his noon meal and to attend to his personal hygiene by giving him a bed bath.
What instruction should the PN provide the UAP?:
Answer:
Bather the client first and then place him in high Fowler's position during and after the meal.The head of the bed should be elevated to a high Fowler's position while the client with dysphagia is eating and should be kept elevated for at least 1 hour following the meal to reduce the risk of aspiration.
- Considering the need for dysphagia precautions , how should the PN intervene?:
Answer:
Instruct the UAP to add a thickening agent to all liquids.because clients with dysphagia typically have swallowing liquids, a thickening agent is added that changes the consistency and makes swallowing easier
- Which data indicates the need for the PN to evaluate Mr,. Ivy further for
altered nutrition?:
Answer:
The conjunctival sac is pale in appearance when exposed.the conjunctival sac should be dark pink. Pallor of any mucous membranes mayindicate anemia.
- The PN notes a change in Mr.Ivy's weight. The PN coordinates with the
dietitian, who helps a 24hr calorie count. The dietitian reports to the PN that Mr.Ivy, who weighs 125lbs and is 67inches tall, consumes 800 calories per day. How should the PN monitor the client's functional ability related to
nutrition?:
Answer:
- / 2