Author Question: A document that gives a patient instructions about future medical care or that designates another ... (Read 28 times)

waynest

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A document that gives a patient instructions about future medical care or that designates another person(s) to make medical decisions if the individual loses decision-making capacity is known as an ________________.
 
  Fill in the blank(s) with correct word

Question 2

A patient had surgery 1 week ago, has not been eating his meals, and states that he has no appetite. The nurse assesses that the patient has been progressively losing weight. Which intervention has the highest priority?
 
  a. Encouraging the patient to eat
  b. Force-feeding the patient
  c. Consulting with the nutritional support team
  d. Being aware that the patient will come around when hungry



IAPPLET

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Answer to Question 1

advance directive
An advance directive is a document that gives a patient instructions about future medical care or that designates another person(s) to make medical decisions if the individual loses decision-making capacity.

Answer to Question 2

C
Frequently, the nurse will be the first to identify risk factors, such as progressive weight loss, restricted or limited fluid intake, intolerance to enteral feedings, increased energy need (burns, sepsis, and trauma), and being NPO (nothing by mouth) for 3 or more days. The first sign of a developing problem is a pattern of a decline in oral food intake and reduced appetite. Assessment provides information for consulting with the nutritional support team and the physician in an effort to initiate appropriate PN. Force-feeding the patient may only lead to worse issues, especially if the patient has a nonfunctioning intestinal system.



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