Which is an example of an intervention that would help a client consume adequate food?
a. Allow the client to prepare foods in his room
b. Arrange for parenteral nutrition until client intake is appropriate
c. Perform daily weights
d. Measure intake and output weekly
e. Organize family-style meals in the facility
e
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Mr. Stanley Edward, a 58-year-old African American male, was admitted to the emergency room of the medical center upon being found unconscious in his car in a parking lot and resuscitated. His history was obtained by contacting his daughter. The patient presents with:
• end-stage adenocarcinoma of the gastroestophageal juncture. • chronic malnutrition and significant weight loss × 1 year. Low BMI, loss of muscle, loss of subcutaneous fat, bitemporal wasting. • acute pancreatitis with intractable vomiting. Medical Hx: Hypertension; S/P stroke @ age 56; cataract surgery. Meds: antilipemic medication, antihypertensive medication. Hx: Lifelong chain smoker (2 packs per day); alcohol abuse since his late 20s. Ht: 5'8". Admission Wt: 107 lbs. Usual Wt, 1 year ago: 170 lbs. Social Hx: Lives alone; cooks and shops for himself despite illness. Dietary Hx: Previously followed a low-cholesterol, low-sodium, high-potassium diet. Mr. Edward is not being actively treated for cancer at his request. Plan is to keep Mr. Edward NPO and place a peripheral line for hydration and nutrition support. Which of Mr. Edward's conditions requires that he be kept NPO? a. history of alcoholism b. pancreatitis with vomiting c. malnutrition with wasting d. end-stage cancer
The recommended beverage for moderate- or vigorous-intensity exercise lasting more than 60 minutes is
A) sports drinks. B) fruit juice cocktail. C) 100% fruit juice. D) water.
Which of the following statements accurately describes farm irrigation?
a. It enriches the soil minerals. b. It helps preserve the water supply. c. It contributes to soil preservation. d. It increases the salt content in the soil. e. It raises water tables.
The first step in determining the enteral nutrition prescription is to:
A. consider electrolyte needs B. establish a dosing weight C. determine fluid needs D. determine a kcal goal E. consider vitamin and mineral needs