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.

Nursing

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Failure to notify the physician or nursing supervisor when a resident's heart rate decreases to less than 48 would be an example of

a. Negligence b. Omission c. Libel d. Unprofessional behavior

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The concept of holism focuses on which of the following?

a. Relationship between nurse and patient b. Practice of spiritualism c. Relationships among all living things d. Totality of the body

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Joanne, a new nurse manager, writes certain assumptions regarding the organization's objectives into her budget

Her supervisor tells her that the objectives implied in her assumptions are not entirely consistent with the organization, and that she needs to clarify these objectives with her supervisor. Joanne apologizes and says she had more latitude with the budget where she previously worked. This is an example of: a. Role complexity. b. Role ambiguity. c. Role conflict. d. Time-dependent roles.

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A 9-year-old is complaining of pain in the lower right quadrant of the abdomen, nausea, and constipation. The child has a fever of 101°F. Which nursing action should the nurse perform first?

A) Give a laxative to alleviate constipation B) Place a heating pad or hot water bottle on the abdomen C) Help to find a comfortable position D) Give an analgesic such as acetaminophen

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