Miami Dade College, Miami NUR 1234: Lesson 16 - Nutrition: HESI RN FLMIR 1904 COHORT. All Correct Answers Indicated.

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Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 1 of 16 * Some questions not yet graded Lesson 16 - Nutrition Due Apr 22 at 11:59pm Points 21 Questions 21 Available ... Mar 18 at 12am - Apr 22 at 11:59pm about 1 month Time Limit None Instructions Attempt History Attempt Time Score LATEST Attempt 1 492 minutes 5.5 out of 21 * Score for this quiz: 5.5 out of 21 * Submitted Apr 22 at 4:10pm This attempt took 492 minutes. This is your Simulation Assignment for today. Remember to only complete this on the day of simulation and complete by midnight. No copy and paste from internet. Write answers in your own words. Question 1 1 / 1 pts Exercise 1 - Writing Activity This exercise will take approximately 15 minutes to complete. Exercise 1 - Question 1 Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 2 of 16 Answer 1: The Basal metabolic rate is best defined as the energy needed to maintain lifesustaining activities for a specific period of time at rest. basal metabolic rate Question 2 0 / 1 pts Exercise 1 - Question 2 In a healthy daily diet, fat intake should not exceed what portion of the total intake? 25% 35% 10% 15% Question 3 0 / 1 pts Exercise 1 - Question 3 Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 3 of 16 A nurse is caring for a patient who is on aspirin therapy. The nurse correctly recognizes that which of the following will have alterations in absorption rates when combined with aspirin? Select all that apply. Vitamin B6 Vitamin B12 Iron Vitamin C Vitamin K Question 4 0 / 1 pts Exercise 1 - Question 4 True or False: In certain cultures, menstruation and cancer may be considered cold illnesses requiring the intake of hot foods. True False Question 5 1 / 1 pts Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 4 of 16 Exercise 1 - Question 5 When caring for a patient receiving enteral feedings, the nurse must assess residual volume with what frequency? 1 to 2 hours 2 to 4 hours 4 to 6 hours 6 to 8 hours Question 6 0 / 1 pts Answer 1: Exercise 1 - Question 6 Vegetables are the most calorie-dense nutrients. Vegetables Fats Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 5 of 16 Question 7 Not yet graded / 1 pts Exercise 2 - Virtual Hospital Activity This exercise will take approximately 30 minutes to complete. Sign in to work at Pacific View Regional Hospital on the Medical Surgical Floor for Period of Care 1. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign-in window.) From the Patient List, select Jacquline Catanazaro (Room 402). Click on Get Report and then click on Go to Nurses’ Station. Click on Chart and then click on 402. Click on the Nursing Admission and Physician's Orders. Review the records. Exercise 2 - Question 1 Why has Jacquline Catanazaro been admitted to the hospital? She is having severe difficulty breathing Jacquline Catanazaro has a long-standing history of asthma and schizophrenia. She is experiencing an exacerbation of her asthma. The flare-up has been brought on in part from her lack of compliance to the prescribed medication regimen. Question 8 Not yet graded / 1 pts Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 6 of 16 Exercise 2 - Question 2 Based on your review of the information in the Nursing Admission, complete the following areas of Jacquline Catanazaro's dietary history: Height Weight History of food allergies Number of meals per day Food preferences Food preparation practices Appetite History of weight change Condition of oral cavity Bowel elimination Height: 5' 6" Weight: 186/84.5 History of food allergies: none Number of meals per day: 4-6 per day Food preferences: NKA, usually wants high carbohydrate sweets and fast foods Food preparation practices:Doesn't like to cook, sister prepares majority of meals. Appetite:Poor. Intake for the last week only included ETOH, coffee, sweets. History of weight change: 7 pound weight gain over last 2-3 months Condition of oral cavity:Natural teeth, none missing. Occasional fillings, no obvious caries. Pink, no puffiness or bleeding. Intact, moist, pink. Bowel elimination: 2 days ago Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 7 of 16 Height: 5 ft 6 in Weight: 186 lb/ 84.5 kg History of food allergies: None Number of meals per day: 4 to 6 Food preferences: Sweet foods, coffee, sodas, beer, scotch, fast food; dislikes vegetables and fruits Food preparation practices: Sister prepares meals; able to afford meals Appetite: Poor during last week History of weight change: Gained 7 lb over last 2 to 3 months Condition of oral cavity: Normal mucosa and teeth; taste is normal Bowel elimination: Stool hard and formed; constipation Question 9 Not yet graded / 1 pts Exercise 2 - Question 3 Calculate Jacquline Catanazaro’s BMI. (Hint: There are 2.2 pounds in a kilogram; 1 meter equals 39.37 inches.) BMI = Weight (kg) ÷ Height (m)2 30.0 Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 8 of 16 According to the Nursing Admission, Jacquline Catanazaro is 5 ft 6 in and 186 lb. Convert lb to kg (186 lb/2.2 = 84.5454 kg) Convert ft/in to m. (5 x 12 = 60 in; 60 + 6 = 66 inches) (66 inches/39.37 = 1.6764 meters) Square meters. (1.6764 m x 1.6764 m = 2.8103) Calculate BMI (BMI = 84.5454/2.8103) Jacquline Catanazaro's BMI is 30.1 Question 10 Not yet graded / 1 pts Exercise 2 - Question 4 Does Jacquline Catanazaro’s BMI confirm the admission history report that says the patient is obese? yes Yes Question 11 0.5 / 1 pts Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 9 of 16 Click on History and Physical. Review the record. Review Consultations, specifically the Psychiatric Consult. Exercise 2 - Question 5 Which of the following factors most likely has contributed to Jacquline Catanazaro’s loss of appetite for the last week? Select all that apply. Albuterol Anxiety Loxapine Shortness of breath Excessive sleep Question 12 1 / 1 pts Exercise 2 - Question 6 According to MyPlate, which food should represent the greater part of the diet? Vegetables Fruits Grains Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 10 of 16 Proteins Question 13 1 / 1 pts Answer 1: Click on Physician's Orders. Exercise 2 - Question 7 The physician has ordered a(n) regular diet for Jacquline Catanazaro. regular Question 14 0 / 1 pts Answer 1: Exercise 2 - Question 8 Jacquline Catanazaro’s constipation might be relieved by an increase in fruits, vegetables, and Beans/ whole grains and a lot of water . Beans/ whole grains and a lot of water liquids Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 11 of 16 Question 15 0 / 1 pts Exercise 2 - Question 9 Review Jacquline Catanazaro’s prescribed medications. Which of the following medications may result in an increase in appetite? Select all that apply. Albuterol Prednisone Amoxicillin Beclomethasone Ipratropium bromide Question 16 Not yet graded / 1 pts Exercise 2 - Question 10 What would be an appropriate approach for assessing Jacquline Catanazaro's nutritional intake once she is discharged? By teaching Jacqueline and her sister the correct nutrition that Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 12 of 16 Jacqueline should be eating The collection of a 3- to 7-day food diary would reveal specific foods and/or liquids she is taking, along with the amounts and the caloric estimates. Question 17 Not yet graded / 1 pts Exercise 2 - Question 11 Based on your review of the medical record, list three interventions you might use to improve Jacquline Catanazaro’s nutritional status. Have her eat with other people which would help promote good nutrition as well as promoting socialization with others. Teach her to incorporate her food preferences into the meal plan and you could also recommend that she consume 8 glasses of water a day, mainly in the a.m. to prevent nocturnia from occurring at night Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 13 of 16 Include the sister in a diet education program. To reduce intake of fatty foods, recommend that the patient eat foods that are baked rather than fried. Work with patient to find fresh fruits to replace sweets in her diet plan. (Caution: Fruits do contain carbohydrates, but this patient needs to eat healthier forms of carbohydrates, so fruit is preferable.) Also work with the patient to reduce the number of meals she eats from 4 to 6 to 3 to 4 a day. Question 18 Not yet graded / 1 pts Exercise 3 - Virtual Hospital Activity This exercise will take approximately 30 minutes to complete. Sign in to work at Pacific View Regional Hospital on the Medical Surgical Floor for Period of Care 2. (Note: If you are already in the virtual hospital from a previous exercise, click on Leave the Floor and then on Restart the Program to get to the sign-in window.) From the Patient List, select Pablo Rodriguez (Room 405). Click on Get Report and then on Go to Nurses’ Station. Click on Chart and then on 405. Click on the Nursing Admission and History and Physical. Review the records. Exercise 3 - Question 1 Why has Pablo Rodriguez been admitted to the hospital? nausea and vomiting due to metastatic lung Cancer Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 14 of 16 Pablo Rodriguez has advanced-stage lung cancer. He is experiencing nausea and vomiting, which have led to dehydration. Question 19 Not yet graded / 1 pts Exercise 3 - Question 2 List three factors that may contribute to Pablo Rodriguez’s loss of appetite. nausea and vomiting depression metallic taste Pablo Rodriguez’s appetite has been decreased because the smell of food is causing nausea, his taste is altered, and he has inflamed gums, which may be painful. The foods he likes cause nausea as well. His depression also could be contributing to his loss of appetite. Question 20 0.33 / 1 pts Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 15 of 16 Exercise 3 - Question 3 Below, match each nursing diagnosis with its cluster of defining characteristics. (A) Sore buccal cavity, aversion to eating, body weight 20% below ideal, poor muscle tone (B) Metallic taste, aversion to food, reports feeling of nausea (C) Weight change, changes in sleep pattern, fatigue, loss of appetite Nausea B A Imbalanced Nutrition: Less Than Body Requirements C Chronic Pain A B Question 21 0.67 / 1 pts Exercise 3 - Question 4 Based on your chart review, which of the following physical findings could be related to Pablo Rodriguez's nutritional status? Select all that Lesson 16 - Nutrition: HESI RN FLMIR 1904COHORT 4/22/20, 5(11 PM /143030 Page 16 of 16 apply. Mild swelling of lower extremities Skin warm and dry No accessory muscle use Swollen red gums Capillary refill greater than 4 seconds General muscle weakness Quiz Score: 5.5 out of 21 [Show More]

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