RNSG 1430 Exam 3 QUESTIONS. ANSWERS PROVIDED. LATEST 2022

1430 Exam 3 Objective & Integrated Process & Concept Exemplar 3. Identify when nutrition imbalance (negative consequence) is developing 7. Demonstrate basic nursing measures to promote necessary optimal nutritional balance, dependent on patient needs related to health risks, illness or disorder; alterations of physiological-psychological function. 9. Educate-Teach overweight and obese patients the importance of lifestyle changes to promote health. Nursing Process: Planning 1- Nutritional assessment NUTRITION Taylor: Ch. 35 Principles of Nutrition Ch. 35 Factors Affecting Nutrition 1209-25 Hinckle: Ch. 11 Age related changes 186-9 Ch. 5 Nutritional Assessment 69-74 Ch. 7 Transcultural Nursing, Diet 100 Ch. 33 Management of Patients with Nonmalignant Hematologic Disorders, Anemia 900-6 Ch. 45 Maintaining Feeding Equipment & Nutritional Balance 1229-34 Ch. 67 Dysphagia 1984-85 Patho Ch. 10 Overweight and Obesity 231-4 Ch. 10 Undernutrition and Eating Disorders 234- 7 ATI Fundamentals for Nursing Ch. 39 Nutritional status has a significant impact on both health and disease. For well patients, good nutritional status can help to maintain health, promote normal growth and development, and protect against disease. During illness, good nutritional status can reduce the risk for complications and speed recovery time. Conversely, poor nutritional status can increase the risk for illness or death. Like other aspects of nursing care, nutritional assessment is a systematic approach used to identify the patient’s actual or potential needs, formulate a plan to meet those needs, initiate the plan or assign others to implement it, and evaluate the effectiveness of the plan. The level of assessment may range from simple screening to a comprehensive, in-depth assessment, depending on individual circumstances. Regardless of the level of assessment, nutritional assessment is appropriate for all patients. Nurses can collect assessment data through history taking (dietary, medical, socioeconomic data), physical assessments (anthropometric and clinical data), and laboratory data. When performing a nutritional assessment, nurses need to be aware of the specific changes in older people that may reflect on the accuracy of the assessment process (T 1214) Nutritional screening is an important part of the nursing assessment. Screening looks for cues associated with nutrition problems to determine if a person is malnourished or at risk for malnutrition. The Mini Nutritional Assessment tool (MNA) is an example of a screening tool used to detect older adults at risk for malnutrition before changes in albumin level and the BMI. The MNA is a combination of screening questions followed by anthropometric measurements, including BMI, midarm and calf circumference, and weight loss. The MNA is fast and easy, and recommended for use with all older adult patients, whether they are community dwelling, hospitalized, or in long-term care settings After a screening tool identifies a patient at risk, such as in a group of older adults, it is imperative to complete a nutritional assessment as a follow-up. These patients are usually referred to a dietitian for a comprehensive nutritional assessment. When this is combined with other methods of assessing nutritional status, the nurse is better prepared to coordinate a focused strategy to combat malnutrition.(T1214) Nursing process: assessment 3 basic components: Nutritional history- incudes: Age, sex, activity level Difficulty eating – chewing, swallowing, mouth, teeth, dentures Changes in appetite and weigh