Reference no: EM133675989
Module : nutrition and elimination
1. What is nutrition and elimination
2. Tell me about adequate diet
3. Give examples for physical examination on patients with nutritional / elimination problems (inspect , auscultation , palpation )
4. A client has been admitted post operatively and is NPO after abd. surgery . their diet order is advance as tolerated.
a. What assessment finding would be key ?
b. How would the diet advance ?
c. What could you do if the client didn't have an appetite and food was unappealing ?
d. What additional consideration are needed if the client has DM or heart disease ?
5. A nurse had reported that she is concerned about a client because they are coughing and nearly gaging when taking their meds.
a. What are some risk factors for dysphasia ?
b. What are signs of dysphagia beside the cough and gagging? how would a DX be confirmed?
c. If aspiration precaution were prescribes what would need to be done ?
6. A nurse has a new prescription to place a NG small bore feeding tube
a. How should the nurse place the feeding tube?
b. What interventions are needed to ensure tube safety and prevent complications ?
c. How is an NG feeding tube different from a PEG/JEG tube ?
7. A nursing student has been assigned to care for a client who has been prescribe TPN and lipids
a. What interventions need to be planed for assess?
b. What interventions need to be planed for treat?
8. A female client , on the rehab floor , has reported that they have been experiencing more frequent exposes of urinary incontinence since hip surgery
a. What are the different types of incontinence ?
b. What type is this client most likely experiencing ? why ?
c. What teaching would be important for this client ?
d. What interventions would be helpful for a client with overflow incontinence?
A post op client is has not voided since surgery 6 hours ago
a. What should the nurse do first to help the client void ?
b. What would the nurse suspect if the client was able to void very small amounts (5-15 ml ) frequently ?
c. What would be the planed interventions ? when would you call the MD? what information would you share and what recommendation would you make?
9. You received a prescription to insert an in/out ( intermittent ) catheter for you client with urinary retention
a. How is this type of urinary catheter different from an indwelling or suprapubic ?
b. Wwhat assessments / cares need to be performed prior to inserting a urinary catheter?
c. What cares are planned to prevent a CAUTI?
d. How would the nurse obtain a urine specimen form an indwelling catheter?
10. A client reports that they have not been able to have a bowel movement for several days
a. What assessments would the nurse need to complete ?
b. What are some non pharmacological way to prevent constipation?
c. What medications can be prescribed ?
d. How do different enemas work? how would a nurse administer an enema ?
11. A client has been admitted with a bowel obstruction following a fall that fractured several lumbar vertebrae.
a. Why did this client get a bowel obstruction ?
b. What are some signs of bowel obstruction?
c. What type of diet would be prescribed for this client ?
d. How is an NG tube to suction placed and cared from compared to a NG tube for feeding?
12. A client has had an ileostomy placed due to cancer
a. What assessment findings would the nurse expect when looking at the stoma and output?
b. How does this differ with a colostomy or ileal conduit ?
c. What teaching is required for this client ?