List six ways in which you can assist the patient with ALS with feeding and maintaining good nutrition.
What will be an ideal response?
· Have the patient rest before meals.
· Provide small, frequent feedings.
· Take swallowing precautions when feeding.
· Follow the speech therapist's recommendations.
· Keep the patient as upright as possible, with the neck flexed slightly forward.
· Avoid washing solid foods down with liquids.
· Check the mouth after meals to make sure there are no food particles that can cause choking later.
· Provide mouth care after meals.
· Schedule rest and activities to preserve the patient's strength and energy.
· Use good infection control measures, handwashing, and standard precautions.
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The nurse in the intensive care unit is caring for a patient suffering from multiple organ dysfunction syndrome (MODS). The nurse's plan of care should focus on:
A) Encouraging the family to stay hopeful and educating the family to the fact that, in most cases, the prognosis is good B) Encouraging the family to leave the hospital and to take time for themselves as care of the MODS patient may last for years C) Promoting communication with the patient and family along with addressing end-of-life issues D) Discussing organ donation on a number of different occasions to allow the family time to adjust to the idea
The nurse is caring for a child who has been admitted for a sickle-cell crisis. In order to provide adequate pain management, what should the nurse do initially?
A) Administer NSAIDs as ordered. B) Use guided imagery and therapeutic touch. C) Administer meperidine as ordered. D) Initiate pain assessment with a standardized pain scale.
Which client statement indicates the need for clarification regarding the instructions for collecting a 24-hour urine specimen for assessment of endocrine function?
a. "I will continue to take all my prescribed medicine during the test." b. "I will add the preservative to the con-tainer at the beginning of the test." c. "I will start the collection by saving the first urine of the morning." d. "At the end of 24 hours, I will urinate and save that last specimen."
Calculate the amount to administer: ______________. Ordered: Akineton 2 mg IM now. On hand:
Akineton 5 mg/mL. Fill in the blank(s) with correct word