Nursing Diagnosis and Nutrition Flashcards
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Questions and Answers

Which risk nursing diagnosis would be the most appropriate for a stroke patient having difficulty swallowing due to left-sided weakness and aphasia?

  • Impaired Swallowing
  • Risk for Aspiration (correct)
  • Imbalanced Nutrition: Less than Body Requirements
  • Feeding: Self-Care Deficit
  • Which nursing diagnosis related to nutrition would be the most appropriate for a patient who is paralyzed from the neck down and unable to use her arms and hands?

  • Impaired Swallowing
  • Imbalanced Nutrition: More than Body Requirements
  • Risk for Aspiration
  • Feeding: Self-Care Deficit (correct)
  • What is the most appropriate risk nursing diagnosis for a patient with severe pain and difficulty swallowing after radiation therapy for esophageal cancer?

  • Risk for Aspiration (correct)
  • Imbalanced Nutrition: Less than Body Requirements
  • Impaired Swallowing
  • Food Sensitivity
  • Which actual nursing diagnosis related to nutrition would be most appropriate for a patient presenting with 30-pound unintentional weight loss, nausea, and diarrhea?

    <p>Imbalanced Nutrition: Less than Body Requirements</p> Signup and view all the answers

    Which actual nursing diagnosis related to nutrition is appropriate for a stroke patient having difficulty eating due to frequent coughing and choking?

    <p>Impaired Swallowing</p> Signup and view all the answers

    What health-promotion nursing diagnosis is appropriate for a diabetic patient expressing the desire to make dietary changes to avoid insulin dependency?

    <p>Readiness for Enhanced Knowledge</p> Signup and view all the answers

    Which health-promotion nursing diagnosis would be appropriate for a diabetic patient who has demonstrated understanding of nutritional guidelines?

    <p>Readiness for Enhanced Nutrition</p> Signup and view all the answers

    Which multidisciplinary team member provides restorative therapy for a patient with a nursing diagnosis of Impaired Swallowing?

    <p>Speech therapist</p> Signup and view all the answers

    What is an example of a goal with a measurable outcome for the nursing diagnosis Imbalanced Nutrition: More than Body Requirements?

    <p>Patient will lose 1 to 2 lbs. each week until weight is within normal range.</p> Signup and view all the answers

    What is a long-term goal appropriate for a patient with Risk for Imbalanced Nutrition: Less than Body Requirements?

    <p>The patient will gain 1-2 lbs. a week until body mass index is normal.</p> Signup and view all the answers

    What patient-centered goal would be appropriate for a diabetic patient with the diagnosis of Readiness for Enhanced Knowledge?

    <p>The patient will demonstrate an understanding of the American Diabetic Association nutritional guidelines by discharge.</p> Signup and view all the answers

    Which diagnosis and patient-centered goal would be appropriate for an obese patient seeking weight loss guidance?

    <p>Imbalanced Nutrition: More than Body Requirements related to excessive caloric intake; Patient will identify factors related to obesity by the next clinic appointment.</p> Signup and view all the answers

    Which groups of professionals should collaborate to achieve the best outcomes for a pediatric patient with anorexia and bulimia?

    <p>Patient, dietician, psychologist, case manager</p> Signup and view all the answers

    Who should the primary nurse collaborate with to provide a cost-effective assistive feeding device for a patient with a nursing diagnosis of Feeding: Self-Care Deficit?

    <p>Case manager</p> Signup and view all the answers

    Study Notes

    • Risk for Aspiration: Most appropriate nursing diagnosis for stroke patients with difficulty swallowing, left-sided weakness, and aphasia.

    • Feeding: Self-Care Deficit: Relevant for patients (e.g., paralyzed from neck down) unable to self-feed due to paralysis but alert and able to swallow.

    • Risk for Aspiration: Applicable to patients post-radiation therapy for esophageal cancer with large neck wounds, who experience pain, coughing, and choking while swallowing.

    • Imbalanced Nutrition: Less than Body Requirements: Diagnosed in patients with significant weight loss (e.g., 30 pounds), nausea, vomiting, and diarrhea, indicating insufficient nutritional intake.

    • Impaired Swallowing: Nursing diagnosis for stroke patients who cough and choke on solids and liquids and require a feeding tube due to neurologic damage.

    • Readiness for Enhanced Knowledge: Relevant for overweight diabetic patients seeking dietary changes and requesting information on healthy food choices.

    • Readiness for Enhanced Nutrition: Appropriate for well-educated diabetic patients showing understanding of nutritional guidelines and seeking to improve their diet.

    Multidisciplinary Collaboration

    • Speech Therapist: Key professional responsible for delivering restorative therapy to patients diagnosed with Impaired Swallowing.

    Goal Setting and Measurement

    • Measurable Outcome for Imbalanced Nutrition: More than Body Requirements: Patient-centered objective where the patient aims to lose 1 to 2 pounds weekly until reaching a normal weight range.

    • Long-Term Goal for Risk for Imbalanced Nutrition: Less than Body Requirements: Patient expected to gain 1-2 pounds weekly until achieving a normal body mass index.

    • Patient-Centered Goal for Diabetic Education: Patient aims to demonstrate understanding of the American Diabetic Association nutritional guidelines by discharge.

    • Obesity-Related Diagnosis and Goal: For obese patients, an appropriate nursing diagnosis would be Imbalanced Nutrition: More than Body Requirements, with a goal to identify obesity-related factors by the next clinic visit.

    Collaborative Care Teams

    • Pediatric Anorexia and Bulimia Team: Most effective team includes the patient, dietician, psychologist, and case manager to support comprehensive care.

    Assistive Devices Collaboration

    • Case Manager: Suggested collaboration for nurses advocating assistive feeding devices for patients facing Feeding: Self-Care deficits, emphasizing cost-effectiveness.

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    Description

    Test your knowledge on nursing diagnoses and planning related to nutrition with these flashcards. This quiz covers critical concepts such as aspiration risks and other related nursing situations. Perfect for nursing students and professionals looking to reinforce their understanding.

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