In measuring the effectiveness of nutritional interventions, the ...

[WhattoUnderstand]

In measuring the effectiveness of nutritional interventions, the nurse should
 
  a. Expect results to occur rapidly.
  b. Not be concerned with physical measures such as weight.
  c. Expect to maintain a course of action re-gardless of changes in condition.
  d. Evaluate outcomes according to the pa-tient's expectations and goals.

Question 2

When expected nutritional outcomes are not being met, the nurse should
 
  a. Revise the nurse measures or expected outcomes.
  b. Alter the outcomes based on nursing standards.
  c. Ensure that patient expectations are con-gruent with the nurse's expectations.
  d. Readjust the plan to exclude cultural be-liefs.

[Mochi]

Answer to Question 1

ANS: D
The nurse should measure the effectiveness of nutritional interventions by evaluating the pa-tient's expected outcomes and goals of care. Nutrition therapy does not always produce rapid results. Ongoing comparisons need to be made with baseline measures of weight, serum albumin or prealbumin, and protein and kilocalorie intake. Changes in condition may indicate a need to change the nutritional plan of care.

Answer to Question 2

ANS: A
When expected outcomes are not met, the nurse should revise the nursing measures or expected outcomes based on the patient's needs or preferences, not solely on the basis of nursing stand-ards. Expectations and health care values held by nurses frequently differ from those held by pa-tients. Working closely with patients enables the nurse to redefine expectations that are realisti-cally met within the limits of conditions and treatments and to identify their dietary preferences and cultural beliefs.

[WhattoUnderstand]

TYSM

[epscape]

Excellent