A nurse is calculating the body mass index (BMI) of a 35-year-old male patient who is extremely obese. The patient's height is 5'6" and his current weight is 325 lb. What would the nurse document as his BMI?
a. 50.5
b. 52.4
c. 54.5
d. 55.2 - answersb.
BMI= weight/height in inches X height i...
NURS 235 Nutrition exam advance test
A nurse is calculating the body mass index (BMI) of a 35-year-old male patient who is
extremely obese. The patient's height is 5'6" and his current weight is 325 lb. What
would the nurse document as his BMI?
a. 50.5
b. 52.4
c. 54.5
d. 55.2 - answersb.
BMI= weight/height in inches X height in inches times 70.3
A nurse is evaluating a patient following the administration of an enteral feeding. Which
findings are normal and are criteria that indicate patient tolerance to the feeding? Select
all that apply.
a. Absence of nausea, vomiting
b. Weight gain
c. Bowel sounds within normal range
d. Large amount of gastric residue
e. Absence of diarrhea and constipation
f. Slight abdominal pain and distention - answersa, c, e
Criteria to consider when evaluating patient feeding tolerance include: absence of
nausea, vomiting, minimal or no gastric residue, absence of diarrhea and constipation,
absence of abdominal pain and distention, presence of bowel sounds within normal
limits.
A nurse is feeding an older adult patient who has dementia. Which intervention should
the nurse perform to facilitate this process?
a. Stroke the underside of the patient's chin to promote swallowing
b. Serve meals in different places and at different times
c. Offer a whole tray of various foods to choose from
d. Avoid between-meal snacks to ensure hunger at mealtime - answersa.
To feed a patient with dementia, the nurse should stroke the underside of the patients
chin to promote swallowing, serve meals in the same place and at the same time,
provide one food item at a time since a whole tray may be overwhelming, and provide
between-meal snacks that are easy to consume using the hands.
A patient who has COPD is refusing to eat. Which intervention would be most helpful in
stimulating appetite in this patient?
a. Administering pain medication after meals
b. Encouraging food from home when possible
c. Scheduling his respiratory therapy before each meal
, d. Reinforcing the importance of his eating exactly what is delivered to him - answersB.
Food from home that the patient enjoys may stimulate him to eat. Pain medication
should be given before meals, respiratory therapy should be scheduled after meals, and
telling the patient what he must eat is no guarantee that he will comply.
A nurse is feeding a patient who is experiencing dysphagia. Which nursing intervention
would the nurse initiate for this patient?
a. Feed the patient solids first and then liquids last
b. Place the head of the bed at a 30-degree angle during feeding
c. Puree all foods to a liquid consistency
d. Provide a 30-minute rest period prior to mealtime - answersd.
When feeding a patient who has dysphagia, the nurse should provide a 30-minute rest
period prior to mealtime to promote swallowing; alternate solids and liquids when
feeding the patient; sit the patient upright or, if on bedrest, elevate the head of the bed
at a 90-degree angle; and initiate a nutrition consult for diet modification and food size
and/or consistency.
A nurse is evaluating patients to determine their need for parenteral nutrition (PN).
Which patients would be the best candidates for this type of nutritional support. Select
all that apply.
a. A patient with irritable bowl syndrome who has intractable diarrhea
b. A patient with celiac disease not absorbing nutrients from the GI tract
c. A patient who is underweight and needs short-term nutritional support
d. A patient who is comatose and needs long-term nutritional support
e. A patient who has anorexia and refuses to take foods via the oral route
f. A patient with burns who has not been able to eat adequately for 5 days - answersa,
b, f
Assessment criteria used to determine the need for PN include an inability to achieve or
maintain enteral access; motility disorders; intractable diarrhea; impaired absorption of
nutrients from the GI tract; and when oral intake has been or is expected to be
inadequate over a 7-to 14-day period. PN promotes tissue healing and is a good choice
for a patient with burns who has an inadequate diet. Oral intake is the best method of
feeding; the second best method is via the eternal route. For short term use (less than 4
weeks), a nasogastric or nasointestinal route is usually selected. A gastrostomy (enteral
feeding) is the preferred route to deliver enteral nutrition in the patient who is comatose
because the gastroesophageal sphincter remains intact, making regurgitation and
aspiration less likely than with NG tube feedings. Patients who refuse to take food
should not be force fed nutrients against their will.
A nurse is feeding a patient who states that she is feeling nauseated and can't eat what
is being offered. What would be the most appropriate initial action of the nurse in this
situation?
a. Remove the tray from the room
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