The nurse is assisting the client to learn to eat with a ...

[tsand2]

The nurse is assisting the client to learn to eat with a tracheostomy. When evaluating the client's ability to eat, the nurse should use which goal?
 
  1. The client is able to choose appropriate food.
  2. The client takes medications PO.
  3. The client's weight remains stable.
  4. The client is able to ambulate.

Question 2

The nurse is caring for the client who has undergone a tonsillectomy. The nurse should monitor the client carefully for:
 
  1. intake of food and fluids.
  2. excessive bleeding.
  3. increased urine output.
  4. progression of the respiratory infection.

[katara]

Answer to Question 1

Answer: 3

1. Choosing appropriate food is not the goal of training the client to eat with a tracheostomy.
2. Ability to take medications orally is not the goal of nutrition. Before starting the client on oral feedings, the ability to swallow has been assessed.
3. The goal of nutrition is to maintain the client's weight.
4. Ambulation is not relevant to the client's ability to eat.

Answer to Question 2

Answer: 2

1. The nurse will monitor intake of fluids, but it is not the priority of care.
2. Because the tonsils are very vascular, the client is at risk for hemorrhage following surgery. The nurse should monitor the client closely for excessive bleeding.
3. The nurse would not be concerned about increased urine output unless the client was diabetic.
4. The client with an infection is not eligible for surgery until the infection is healed.

[tsand2]

Excellent

[Jossy]

TYSM