A resident in the nursing home is diagnosed with undernutrition and is unable to take in adequate food despite efforts by the multidisciplinary team and family members

Prior to insertion of a permanent feeding tube, which issue needs to be considered? 1. Equipment, care, and time needed to administer the feedings
2. The extent of the surgical intervention, cost and insurance coverage
3. The patient's nutritional needs and tolerance of the formula feedings
4. The patient's advanced directive and evaluation of risks, benefits, and ethical considerations


4
Rationale: The actual placement of a feeding tube is a common, relatively simple procedure that can be performed as an outpatient. Staff time may be reduced with the tube feeding than with actually feeding the patient.

Nursing

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A pregnant adolescent is not gaining weight and reports having a few beers with friends over the weekends. Which response should the nurse make to this client? (Select all that apply.)

a. "This just shows what kind of a mother you will be." b. "No amount of alcohol has been proven safe to consume during pregnancy." c. "An occasional beer may be safe, but why take a chance with your baby's health?" d. "Alcohol use during pregnancy is toxic to the fetus and can affect normal development." e. "Alcohol can prevent the absorption of nutrients that are important for fetal development."

Nursing

A patient on disulfiram should be cautioned to avoid ingesting alcohol used as an ingredient in certain preparations. Which of the following products have hidden alcohol?

1. Cough syrup 2. Chocolate candy 3. Fruit smoothies 4. Lifesavers

Nursing

Which patient would the healthcare professional assess for elevated levels of antidiuretic hormone (ADH) secretion?

a. Being treated for small cell carcinoma of the stomach b. Taking high dose acetaminophen (Tylenol) for arthritis c. Had a hip replacement operation 14 days ago d. Has long-standing kidney disease from diabetes

Nursing