NUR 321 VCE #6 | Nutrition Reading Assignment. Questions and Answers.

NUR 321 VCE #6: Nutrition Reading Assignment: Nutrition Patients: Jacquline Catanazaro, Medical-Surgical Floor, Room 402 Pablo Rodriguez, Medical-Surgical Floor, Room 405 Objectives: Calculate a patient's body m ...

NUR 321 VCE #6: Nutrition Reading Assignment: Nutrition Patients: Jacquline Catanazaro, Medical-Surgical Floor, Room 402 Pablo Rodriguez, Medical-Surgical Floor, Room 405 Objectives: Calculate a patient's body mass index (BMI). Identify the function of select nutrients. Describe factors that place patients at risk for nutritional problems. Conduct a dietary history. Identify clinical signs of nutritional alterations. Identify appropriate diet therapies for patients in the case studies. Exercise 1 1. When caring for a patient receiving enteral feedings, the nurse must assess residual volume with what frequency? a. 1 to 2 hours b. 2 to 4 hours c. 4 to 6 hours d. 6 to 8 hours 2. are the most calorie-dense nutrients. Sign in to work at Pacific View Regional Hospital on the Medical-Surgical Floor for Period of Care 1. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign- in window.) From the Patient List, select Jacquline Catanazaro (Room 402). Click on Get Report and then click on Go to Nurses’ Station. Click on Chart and then click on 402. Click on the Nursing Admission and Physician's Orders. Review the records. 3. Based on your review of the information in the Nursing Admission, complete the following dietary history for Jacquline Catanazaro. • Height • Weight • History of food allergies: • Number of meals per day • Food preferences: • Food preparation practices: • Appetite: • History of weight change: • Condition of oral cavity: • Bowel elimination:. 4. Calculate Jacquline Catanazaro’s BMI. (Hint: There are 2.2 pounds in a kilogram; 1 meter equals 39.37 inches.) BMI = Weight (kg) ÷ Height (m)2 (do not round) 5. Does Jacquline Catanazaro’s BMI confirm the admission history report that says the patient is obese? • Click on History and Physical. Review the record. • Review Consultations, specifically the Psychiatric Consult. 6. According to MyPlate, which food should represent the greater part of the diet? a. Fruits b. Vegetables c. Grains d. Proteins • Click on Physician's Orders. 7. The physician has ordered a(n) diet for Jacquline Catanazaro. 8. Jacquline Catanazaro’s constipation might be relieved by an increase in fruits, vegetables, 9. What would be an appropriate approach for assessing Jacquline Catanazaro's nutritional intake once she is discharged? 10. Based on your review of the medical record, list three interventions you might use to improve Jacquline Catanazaro’s nutritional status. Sign in to work at Pacific View Regional Hospital on the Medical-Surgical Floor for Period of Care 2. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign- in window.) • From the Patient List, select Pablo Rodriguez (Room 405). • Click on Get Report and then on Go to Nurses’ Station. • Click on Chart and then on 405. • Click on the Nursing Admission and History and Physical. Review the records. 11. List three factors that may contribute to Pablo Rodriguez’s loss of appetite. For the next 3 questions match each nursing diagnosis with its cluster of defining characteristics. Each diagnosis may only be used once. Nursing Diagnosis: Nausea Imbalanced Nutrition: Less Than Body Requirements Chronic Pain 12. Sore buccal cavity, aversion to eating, body weight 20% below ideal, poor muscle tone 13. Metallic taste, aversion to food, reports feeling of nausea 14. Weight change, changes in sleep pattern, fatigue, loss of appetite 15. Based on your chart review, which of the following physical findings could be related to Pablo Rodriguez's nutritional status? Select all that apply. a. Mild swelling of lower extremities b. Skin warm and dry c. No accessory muscle use d. Swollen red gums e. Capillary refill greater than 4 seconds f. General muscle weakness