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?
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?
What is the most appropriate risk nursing diagnosis for a patient with severe pain and difficulty swallowing after radiation therapy for esophageal cancer?
Which actual nursing diagnosis related to nutrition would be most appropriate for a patient presenting with 30-pound unintentional weight loss, nausea, and diarrhea?
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Which actual nursing diagnosis related to nutrition is appropriate for a stroke patient having difficulty eating due to frequent coughing and choking?
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What health-promotion nursing diagnosis is appropriate for a diabetic patient expressing the desire to make dietary changes to avoid insulin dependency?
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Which health-promotion nursing diagnosis would be appropriate for a diabetic patient who has demonstrated understanding of nutritional guidelines?
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Which multidisciplinary team member provides restorative therapy for a patient with a nursing diagnosis of Impaired Swallowing?
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What is an example of a goal with a measurable outcome for the nursing diagnosis Imbalanced Nutrition: More than Body Requirements?
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What is a long-term goal appropriate for a patient with Risk for Imbalanced Nutrition: Less than Body Requirements?
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What patient-centered goal would be appropriate for a diabetic patient with the diagnosis of Readiness for Enhanced Knowledge?
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Which diagnosis and patient-centered goal would be appropriate for an obese patient seeking weight loss guidance?
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Which groups of professionals should collaborate to achieve the best outcomes for a pediatric patient with anorexia and bulimia?
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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?
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Study Notes
Nursing Diagnoses Related to Nutrition
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Risk for Aspiration: Most appropriate nursing diagnosis for stroke patients with difficulty swallowing, left-sided weakness, and aphasia.
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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.
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Risk for Aspiration: Applicable to patients post-radiation therapy for esophageal cancer with large neck wounds, who experience pain, coughing, and choking while swallowing.
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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.
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Impaired Swallowing: Nursing diagnosis for stroke patients who cough and choke on solids and liquids and require a feeding tube due to neurologic damage.
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Readiness for Enhanced Knowledge: Relevant for overweight diabetic patients seeking dietary changes and requesting information on healthy food choices.
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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
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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.
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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.
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Patient-Centered Goal for Diabetic Education: Patient aims to demonstrate understanding of the American Diabetic Association nutritional guidelines by discharge.
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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.
