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Altered Nutrition Funds HESI Case Study Questions and Answers | Latest Version | 2025/2026 | Correct & Verified
A client with altered nutrition is being discharged with home health services. Which instruction by the nurse is most important to include?
- “Weigh yourself once a month.”
- “Avoid discussing your food intake with your provider.”
- “Reduce fluid intake to avoid feeling bloated.”
✔✔C. “Keep a daily record of your weight and food intake.”
A patient is receiving enteral nutrition. Which assessment finding requires immediate intervention?
- Occasional mild bloating
- Residual volume less than 50 mL
- Soft, formed stools
✔✔D. Shortness of breath and coughing during feeding
The nurse is evaluating a patient who has been on total parenteral nutrition (TPN) for one week.Which lab value is most important to monitor? 1 / 4
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- Hemoglobin
- Potassium
- Platelets
✔✔C. Blood glucose
A client with altered nutrition has developed pressure injuries. What is the nurse’s priority intervention?
- Monitor hydration only
- Restrict fluids
- Avoid repositioning to save energy
✔✔B. Increase protein intake for healing
Which statement from a patient receiving TPN indicates the need for further teaching?
- “I should not adjust the infusion rate myself.”
- “I will notify the nurse if the bag is empty.”
- “Blood sugar checks are necessary even if I’m not diabetic.”
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✔✔C. “If the TPN runs out, I can just stop it until the next bag arrives.”
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A patient is at risk for aspiration while receiving enteral feedings. Which nursing action is most appropriate?
- Lower the head of the bed during feeding
- Delay oral care until feeding is complete
- Clamp the tube after every 10 mL infusion
✔✔B. Keep the head of the bed elevated at least 30 degrees
A patient with altered nutrition is at risk for refeeding syndrome. Which lab value should the nurse monitor most closely?✔✔A. Phosphate
- Hematocrit
- White blood cell count
- Bilirubin
Which finding indicates improvement in a malnourished patient’s condition?
- Decreased appetite
- Increased edema
✔✔C. Steady weight gain and improved strength 3 / 4
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- Worsening fatigue
Which patient is at greatest risk for altered nutrition?
- Client recovering from an ankle sprain
- Client with mild seasonal allergies
- Client with a simple upper respiratory infection
✔✔B. Client with chronic alcoholism
A nurse is caring for a client on continuous enteral feeding. Which action prevents clogging of the tube?
- Flush with juice after medication administration
- Increase formula rate
- Use only powdered medications
✔✔B. Flush with water before and after medication administration
A patient with altered nutrition reports early satiety. Which nursing intervention is most appropriate?✔✔A. Offer small, frequent meals throughout the day
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