Read the scenario for the patient you
Read the scenario for the patient you are taking care of and answer the questions that follow. The point total for each question is listed. This assignment is worth 10 points. Upload your responses to the appropriate D2L drop box. Scenario 1: You are assigned to care for Ms. MR, a 42-year-old female with difficulty breathing secondary to COPD. Ms. MR states “I just don’t have an appetite anymore” 1. What measures can you delegate to the nursing assistant to stimulate the patient’s appetite at mealtime? (0.5 point) 2. How does dyspnea affect the attainment of adequate nutrition? What strategies can you employ to help with this? (1 point) Scenario 2: You are assigned to care for Mrs. SF, an 81-year-old female with dementia and weight loss. The charge nurse states that SF has characteristics of malnutrition. 3. What results would support this interpretation? Consider what labs might be checked. (1 point) 4. What physical assessment data should you anticipate finding in this situation? (1 point) Ethical consideration: The family wishes to try trial tube feedings on Mrs. SF for 6 weeks to enhance her quality of life. 5. Evaluate the pros and cons of this decision (1 point) Scenario 3: You are assigned to care for Ms. AS, a 77-year-old female with right sided weakness and mild dysphagia. Ms. AS has been placed on aspiration precautions. 6. What do you need to implement at mealtimes? (0.5 point) 7. A nursing diagnosis of Risk for Aspiration is made, and the outcome is aspiration prevention. State two outcomes that would demonstrate attainment of this goal. (1 point) 8. How can you promote patient independence at mealtimes? (0.5 point) Scenario 4: Mr. AB, a 37-year-old male with severe HTN (hypertension.) Mr. AB needs dietary instruction regarding calorie and sodium reduction. 9. He states “I just don’t feel like am that overweight. I’ve always been big boned and played football. I am 6 feet tall and 265 pounds and in great shape.” What is his BMI? How do you explain this to the patient? (1 point) 10. How would you teach him to use MyPlate? (0.5 point) 11. In addition, he asks, “how do I really know how much salt I am getting?” Discuss teaching regarding reading nutrition labels. (1 point) 12. Please look up any two of the following. State whether or not they interfere with the absorption of any nutrients. (1 point) Warfarin Ginko Ginsing Calcium Aspirin Ibuprofen caffeine
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