calculating a clients net fluid intake ati nursing skillderidder city council election results. Place a name tag on the body. * look at page 148, Health Promotion and Disease Prevention: Stages of Health Behavior Change, Hygiene: Bathing a Client Who Has Dementia, -Let them know what you are doing. Which of the following actions should the nurse take? These clients should have attractive and preferred food preferences and, at times, they may need dietary supplements and medications to stimulate their appetite. Infants and young children at risk for alterations in terms of fluid imbalances because of their relatively rapid respiratory rate which increases inpercernible fluid losses through the lungs, the child's relatively immature renal system, and a greater sensitivity to fluid losses such as those that occur with vomiting and diarrhea. -Foot circles: rotate the feet in circles at the ankles Question: Nutrition and oral hydration Basic concept template - Chegg Which of the following assessment findings should the nurse expect to confirm correct tube placement? When the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hrs. calculating a clients net fluid intake ati nursing skill Ankle pumps, foot circles, and knee flexion, Mobility and Immobility: Teaching About Reducing the Adverse Effects of Immobility, Nasogastric Intubation and Enteral Feedings: Unexpected Findings (ATI pg 334), -Excoriation of nares and stomach Medications, including over the counter medications, interact with foods, herbs and supplements. -Irrigate the tube to unclog Blockages Which of the following responses should the nurse provide? The answer will have a profound effect on the situation and the client. 264). Sign to alert medical personnel of I&O measurement. The body mass index is calculated using the client's bodily weight in kg and the height of the client in terms of meters. -ROM exercises -Consider switching the tube to the other naris Nurses assess edema in terms of its location and severity. For which of the following clients should the nurse consult the provider before using this complementary therapy? Which of the following foods should the nurse suggest that the client ass to his diet? Some of the side effects and complications associated with tube feedings, their prevention and their interventions are discussed below. Apply clean gloves. Measure with a medicine cup. A nurse in a long-term care facility is caring for a client who dies during the nurse's shift. -knee flexion: flex and extend the legs at the knees 1) ans)Description of skill: Calculating a patients daily intake will require you to record all fluids that go into the patient. The family member washed out the feeding bag with warm water once every 24 hours. A nurse in a provider's office is assessing the deep tendon reflexes of a client. 3. mobility. Which of the following actions should the nurse take to prevent the spread of infection? -make sure it's below level of bladder, Urinary Elimination: Preventing Skin Breakdown (ATI pg 256). 384 Documents. What is the normal Hct range for Females and Males? 2023 Registered Nursing.org All Rights Reserved | About | Privacy | Terms | Contact Us. -release scan button for reading, Young Adults (20 to 35 Years): Teaching Appropriate Health Promotion Guidelines (ATI pg 115). The residual volume of these feedings is aspirated, measured and recorded at least every 6 hours and the tube is flushed every 4 hours to maintain its patency. Fluid Imbalances: Calculating a Client's Net Fluid Intake Include volume intake to get a net fluid balance calculation as well (assuming no other fluid losses) Weight, total urine output, hours, and fluid intake Hygiene: Providing Instruction About Foot Care (CP card #97) -inspect feet daily -use LUKEWARM water -dry feet thoroughly Instruct the patient or family members to call nurse or NAP to: 1. empty contents of urinal, urine hat, or commode each time patient uses it. Which of the following actions should the nurse include? When the nurse asks if the client would like to discuss any concerns, the client declines. 1.Maintaining standard precautions related to body fluids. Bolus tube feedings are associated with dumping syndrome which is a complication of these feedings. Focused learning review-fundamentals Flashcards | Quizlet Educating the client and family members about the modified diet and the need for this new diet in terms of the client's health status is also highly important and critical to the success of the client's dietary plan and their improved state of health and wellness. -Towel bath? Clients who can't read. "We need to document the exact mediation you were taking because you might be allergic to it.". Some of the terms and terminology relating to hydration and the client's hydration status that you should be familiar with for your NCLEX-RN examination include these below. Which of the following questions should the nurse ask when assessing the quality of the client's pain? A nurse is caring for a client who has a sodium level of 125 mEq/L. -Imagery- pleasant thought to divert focus A nurse is caring for a client who has recently started using a hearing aid worn behind the ear. -Help with personal hygiene needs or a back rub prior to sleep to increase comfort. Some of the terms and terminology relating to nutrition and hydration that you should be familiar with include those below. Requires ability to concentrate. Urinary Elimination: Teaching About Kegel Exercises, Tighten pelvic muscles for a count of 10, relax slowly for a count of 10, and repeat in sequences of 15 in lying-down, sitting, and standing positions, Vital Signs: Assessing a Client's Blood Pressure, -Ortho- waif 1 to 3 mins after sitting to get BP As previously mentioned, a number of factors impact on the client, their preferences and their choices in terms of the kinds of foods that they want to eat and in terms of the quantity of food that they want to consume. The volume of bolus enteral feedings is usually about 200 to 400 mLs but not over 500 mLs per feeding. Fluid Imbalances: Calculating a Client's Net Fluid Intake . Clients must be encouraged to drink these supplements as ordered and the client's flavor preference should also be considered and provided to the client whenever possible. Consider purchasing a generator for power backup. Which of the following methods should the nurse use as a psychomotor approach to learning? Significant fluid losses can result from diarrhea, vomiting and nasogastric suctioning; and abnormal losses of electrolytes and fluid and retention can result from medications, such as diuretics or corticosteroids. Which of the following signatures may the nurse legally witness? pillow, foot boots, trochanter rolls, splints, wedge pillows), Mobility and Immobility: Evaluating a Client's Use of a Walker (CP card #107), Mobility and Immobility: Preventing a Plantar Flexion Contracture**. 349 0 obj <> endobj Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, Forecasting, Time Series, and Regression (Richard T. O'Connell; Anne B. Koehler), Campbell Biology (Jane B. Reece; Lisa A. Urry; Michael L. Cain; Steven A. Wasserman; Peter V. Minorsky), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Business Law: Text and Cases (Kenneth W. 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