Podcast
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 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?
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?
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?
Which actual nursing diagnosis related to nutrition would be most appropriate for a patient presenting with 30-pound unintentional weight loss, nausea, and diarrhea?
Which actual nursing diagnosis related to nutrition is appropriate for a stroke patient having difficulty eating due to frequent coughing and choking?
Which actual nursing diagnosis related to nutrition is appropriate for a stroke patient having difficulty eating due to frequent coughing and choking?
What health-promotion nursing diagnosis is appropriate for a diabetic patient expressing the desire to make dietary changes to avoid insulin dependency?
What health-promotion nursing diagnosis is appropriate for a diabetic patient expressing the desire to make dietary changes to avoid insulin dependency?
Which health-promotion nursing diagnosis would be appropriate for a diabetic patient who has demonstrated understanding of nutritional guidelines?
Which health-promotion nursing diagnosis would be appropriate for a diabetic patient who has demonstrated understanding of nutritional guidelines?
Which multidisciplinary team member provides restorative therapy for a patient with a nursing diagnosis of Impaired Swallowing?
Which multidisciplinary team member provides restorative therapy for a patient with a nursing diagnosis of Impaired Swallowing?
What is an example of a goal with a measurable outcome for the nursing diagnosis Imbalanced Nutrition: More than Body Requirements?
What is an example of a goal with a measurable outcome for the nursing diagnosis Imbalanced Nutrition: More than Body Requirements?
What is a long-term goal appropriate for a patient with Risk for Imbalanced Nutrition: Less than Body Requirements?
What is a long-term goal appropriate for a patient with Risk for Imbalanced Nutrition: Less than Body Requirements?
What patient-centered goal would be appropriate for a diabetic patient with the diagnosis of Readiness for Enhanced Knowledge?
What patient-centered goal would be appropriate for a diabetic patient with the diagnosis of Readiness for Enhanced Knowledge?
Which diagnosis and patient-centered goal would be appropriate for an obese patient seeking weight loss guidance?
Which diagnosis and patient-centered goal would be appropriate for an obese patient seeking weight loss guidance?
Which groups of professionals should collaborate to achieve the best outcomes for a pediatric patient with anorexia and bulimia?
Which groups of professionals should collaborate to achieve the best outcomes for a pediatric patient with anorexia and bulimia?
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?
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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