2. When assessing patient with nutritional needs, which patients will
require follow-up from the nurse? (Select all that apply.)
a. A patient with infection taking tetracycline with milk
b. A patient with irritable bowel syndrome increasing fiber
c. A patient with diverticulitis following a high-fiber diet daily
d. A patient with an enteral feeding
and 500 mL of gastric residual A
patient with dysphagia being
referred to a speech-language
e. pathologist
ANS: A, C, D
The nurse should follow up with the tetracycline, diverticulitis, and enteral
feeding. Tetracycline has decreased drug absorption with milk and
antacids and has decreased nutrient absorption of calcium from binding.
Nutritional treatment for diverticulitis includes a moderate- or low-residue
diet until the infection subsides. Afterward, prescribing a high-fiber
diet for chronic diverticula problems ensues. A patient with a gastric
residual volume of 500 mL needs to have the feeding withheld and
reassessed for tolerance to feedings. All the rest are normal and
expected and do not require follow-up. Patients manage irritable bowel
syndrome by increasing fiber, reducing fat, avoiding large meals, and
avoiding lactose or sorbitol-containing foods for susceptible
individuals. Initiate consultation with a speech-language pathologist
for swallowing exercises and techniques to improve swallowing and
reduce risk of aspiration for a patient with dysphagia.
3. To honor cultural values of patients from different ethnic/religious
groups, which actions demonstrate culturally sensitive care by the
nurse? (Select all that apply.)
a. Allows fasting on Yom Kippur for a Jewish patient
b. Allows caffeine drinks for a Mormon patient
c. Serves no ham products to a Muslim patient
1
d. Serves kosher foods to a Christian patient
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