Fundamentals of Nursing - Chapter 44 Flashcards

Questions and Answers

Which statement made by an adult patient demonstrates understanding of healthy nutrition teaching?

I will increase the servings of fruit juice to four a day.

I will not eat so many dark green vegetables and eat more yellow vegetables.

I will make sure that I eat a balanced diet and exercise regularly. (correct)

I need to stop eating red meat.

The nurse teaches a patient who has had surgery to increase which nutrient to help with tissue repair?

Fat

Protein (correct)

Vitamin

Carbohydrate

Which interventions help decrease the risk of aspiration during feeding? (Select all that apply.)

Provide thin foods to make it easier to swallow.

Feed the patient slowly, allowing time to chew and swallow. (correct)

Sit the patient upright in a chair. (correct)

Encourage patient to lie down to rest for 30 minutes after eating.

Give liquids at the end of the meal.

Place food in the strong side of the mouth. (correct)

The nurse suspects that the patient receiving parenteral nutrition (PN) through a central venous catheter (CVC) has an air embolus. What action does the nurse need to take first?

Turn patient to left lateral decubitus position Signup and view all the answers

Which action is initially taken by the nurse to verify correct position of a newly placed small-bore feeding tube?

Placing an order for x-ray film examination to check position Signup and view all the answers

Place the steps for caring for the occluded catheter in the order the nurse would perform them: A. Attempt to aspirate a clot. B. Temporarily stop the infusion. C. Flush the line with saline or heparin. D. Use a thrombolytic agent if ordered or per protocol.

B, C, A, D Signup and view all the answers

Based on knowledge of peptic ulcer disease (PUD), which bacteria is typically present in a patient suspected of having PUD?

Helicobacter pylori Signup and view all the answers

Which assessment findings need further intervention for a patient receiving enteral feedings via a small-bore nasogastric tube?

Gastric residual aspirate of 350 mL for the second consecutive time Signup and view all the answers

Which patient is at greatest risk for experiencing inadequate nutrition?

A recently widowed 76-year-old woman recovering from a mild stroke Signup and view all the answers

Which statement made by a patient of a 2-month-old infant requires further education?

I'm going to alternate formula with whole milk starting next month. Signup and view all the answers

Place the steps in the proper sequence for checking feeding tube placement: A. Draw 5-10 mL gastric aspirate into syringe. B. Flush tube with 30 mL air. C. Mix aspirate in syringe and place in medicine cup. D. Observe color of gastric aspirate. E. Perform hand hygiene and put on clean gloves. F. Dip pH strip into gastric aspirate. G. Compare strip with color chart from manufacturer.

E, B, A, D, C, F, G Signup and view all the answers

Which points should be included in a program on healthy nutrition for older adults?

Avoid grapefruit and grapefruit juice, which impair drug absorption. Signup and view all the answers

Study Notes

Healthy Nutrition Understanding

A balanced diet and regular exercise are essential for maintaining health.
Avoiding excessive red meat and increasing fruit intake may be misconstrued; focus on variety rather than elimination.

Nutrients for Tissue Repair

Protein is crucial for recovery after surgery and aids in the healing of tissues.

Managing Dysphagia

Patients should be seated upright during meals to minimize aspiration risks.
Foods should be placed in the stronger side of the mouth, and feeding should be slow to allow adequate chewing and swallowing.

Air Embolus Response

In suspected air embolus cases during parenteral nutrition, position the patient on the left side to trap the air in the right atrium.

Feeding Tube Verification

Confirm the correct position of a newly placed feeding tube through an x-ray examination instead of other methods.

Managing Occluded Catheter

When facing catheter occlusion, first stop the infusion, flush with saline, attempt to aspirate, and finally use thrombolytics if indicated.

Peptic Ulcer Disease (PUD)

Helicobacter pylori is a common bacterium found in patients with peptic ulcer disease.

Enteral Feedings Assessment

A gastric residual aspirate of 350 mL for the second consecutive time requires further assessment and intervention.

Risk for Inadequate Nutrition

Older adults, like a widowed 76-year-old recovering from a mild stroke, are at a higher risk for inadequate nutrition compared to other demographics.

Infant Nutrition Education

Whole milk should not be introduced to infants until after their first year; formula should continue for the first year.

Feeding Tube Placement Verification Steps

Proper sequence includes hand hygiene, flushing with air, aspirating gastric contents, observing color, transferring to a cup, and pH testing.

Healthy Nutrition for Older Adults

Recommendations include avoiding grapefruit, increasing multivitamin intake for vitamin D, and incorporating protein-rich foods like cheese and eggs.

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Description

Test your knowledge on healthy nutrition principles from Chapter 44 of the Fundamentals of Nursing. This quiz features a series of flashcards that assess understanding of nutrition concepts and practices. Perfect for nursing students looking to reinforce their learning in nutrition.