NU473 Week 6 HESI Case Study Evolve Elsevier Feeding and
Eating Disorders - 22 Questions
Clinical Manifestations of Hypophosphatemia
1. Shallow respirations - Rationale: Respiratory changes may occur due to musculoskeletal and electrolyte imbalances.
2. Weak cardiac contractions - Rationale...
NU473 Week 6 HESI Case Study Evolve Elsevier Feeding and
Eating Disorders - 22 Questions
Clinical Manifestations of Hypophosphatemia
1. Shallow respirations
- Rationale: Respiratory changes may occur due to musculoskeletal and electrolyte imbalances.
2. Weak cardiac contractions
- Rationale: Insufficient phosphorus may lead to decreased energy in myocardial cells, affecting cardiac
contractions.
3. Seizure activity
- Rationale: Severe hypophosphatemia can lead to central nervous system complications, including
seizures.
4. Altered mental status
- Rationale: Confusion and alterations in perception are common with low phosphorus levels.
Laboratory Findings Indicative of Protein Malnutrition
- Result: Prealbumin level 5 mg/dL (5 mg/mL)
- Rationale: Prealbumin is a sensitive indicator of nutritional status due to its short half-life. A low level
signifies malnutrition.
Priority Nursing Intervention for Nasogastric Feedings
- Intervention: Slow enteral feedings at the start of therapy.
- Rationale: Beginning with reduced caloric intake helps prevent refeeding syndrome and associated
complications.
Short-Term Goal for Refeeding Safety
- Goal: The client will gain no more than 1 to 2 lbs (0.45 to 0.91 kgs) during the initial week of refeeding.
, - Rationale: To mitigate risks of fluid and electrolyte shifts during the refeeding process, gradual weight
gain is crucial.
Major Role in Nasogastric Feeding Protocol
- Member: Clinical Nutritionist
- Rationale: Clinical nutritionists specialize in dietary management and play a vital role in formulating
feeding protocols.
Rationale for Administering Feedings at Night
- Rationale: Night feedings can prevent reinforcing attention and sympathy from others.
- Explanation: Neutral timing for feedings assists in focusing on safety and health without drawing
unnecessary attention.
Actions to Implement the Client’s Plan of Care (Select All That Apply)
1. Monitor fluid and electrolytes
- Rationale: Malnourished clients are at risk for fluid imbalances.
2. Supervise the client during and after feedings
- Rationale: Supervision prevents complications like vomiting or siphoning.
3. Perform skin assessments each shift
- Rationale: Malnourishment can lead to impaired skin integrity, necessitating routine assessments.
4. Measure and document intake and output
- Rationale: Accurate tracking of fluids and calories is crucial for evaluating the efficacy of enteral
feedings.
High-Priority Nursing Problems During Acute Phase (Select All That Apply)
1. Malnourishment
- Rationale: Insufficient nutritional intake is a critical concern for clients with anorexia.
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