For each evaluation finding, click on to specify if the finding is constant with dumping
syndrome, hypoglycemia, or refeeding syndrome. Each finding may additionally help multiple
circumstance.
Click to focus on the findings that indicate an development within the customer's situation. To
deselect a finding, click on at the finding again.
- Client is alert and oriented to individual, area, time, and scenario.
- Denies dizziness upon standing.
- Heart rhythm normal, S1 and S2 gift.
- Respirations even and non-labored.
- Lungs clear anterior and posterior.
- Abdomen gentle and rounded with normoactive bowel sounds lively in all 4 quadrants.
- Urine output of three hundred mL in past eight hr.
- Skin heat, dry, and intact.
- Capillary top off three seconds. - ANS- Client is alert and oriented to individual, location,
time, and state of affairs.
- Denies dizziness upon standing.
- Abdomen tender and rounded with normoactive bowel sounds lively in all 4 quadrants.
,- Urine output of three hundred mL in beyond 8 hr.
- Skin heat, dry, and intact.
- Capillary replenish three seconds.
A consumer reviews constipation in the course of a recurring checkup. The patron became
formerly encouraged to boom their consumption of mineral supplements. Which of the
following minerals must the nurse pick out because the feasible purpose of the constipation?
Rationale: Calcium can lead to constipation by using reducing peristalsis.
A nurse is being concerned for a purchaser who's receiving total parenteral nutrition (TPN)
and is prescribed an oral food regimen. The purchaser asks the nurse why the TPN is being
persevered on the grounds that they may be now eating. Which of the following responses
have to the nurse make?
- "Your blood glucose tiers want to be inside a ordinary range before the parenteral vitamins
may be stopped."
- "You have to eat at least 60 percentage of your energy orally before the parenteral
nutrients may be discontinued."
- "You have to have a weight gain of at the least 1 kilogram consistent with day before the
therapy is stopped."
- "Your bowel movements want to be ordinary before the remedy can be discontinued." -
ANS- "You need to devour at least 60 percentage of your calories orally earlier than the
parenteral nutrition may be discontinued."
Rationale: TPN can be discontinued while oral intake exceeds at least 60% of the client's
expected each day caloric necessities.
A nurse is assessing the meal sample of a customer who has diverticular sickness and a
prescription for a high-fiber weight loss plan. Which of the subsequent meals picks via the
consumer carries the most fiber?
- 1 medium banana
- half cup oatmeal
- 1 medium apple with pores and skin
- half cup bran cereal - ANS- 1/2 cup bran cereal
Rationale: A high-fiber food regimen is recommended for customers who've diverticular
disorder because cumbersome, smooth stools are easier for the customer to bypass and
bring about decreased strain in the colon. The nurse ought to decide that a half of cup of
bran cereal carries the most fiber at 10 g in line with serving.
, A nurse is assessing a patron who's suspected of getting lactose intolerance. Which of the
following is an predicted finding?
Rationale: Flatulence, bloating, cramping, and diarrhea are expected findings associated
with lactose intolerance.
A nurse is assessing a customer who has type 2 diabetes mellitus. The nurse have to
apprehend which of the following as a manifestation of hypoglycemia?
Rationale: The nurse should apprehend confusion as a manifestation of hypoglycemia.
A nurse is assessing a customer's danger for pressure injuries the use of a pores and skin
danger assessment device. The client eats more than half of maximum food by way of every
so often refuses a meal. Which of the following information should the nurse record on the
nutrients category of the skin danger evaluation tool?
Rationale: A client who eats extra than 1/2 of maximum meals, every now and then refuses
a meal, and has four servings of protein every day scores a 3 (Adequate) in the nutrition
class of the pores and skin danger assessment tool.
A nurse is offering nutritional coaching approximately accelerated zinc intake for a consumer
who has continual pores and skin ulcers of the decrease extremities. Which of the following
meals must the nurse suggest as containing the best quantity of zinc?
- 1 cup apple slices
- 4 ozlow-fat cottage cheese
- 4 ozfloor red meat patty
- 1 cup raw spinach - ANS- four ouncesground beef patty
Rationale: The nurse must determine that a ground red meat patty is the pleasant food
source to suggest because a 4 ozfloor beef patty contains five.49 mg of zinc.
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