RN hesi fundamentals
RN hesi fundamentals ( 24 Questions)
- Patient Data
History and Physical Nurses' Notes
The client is a 29-year-old female who was attacked by a dog 3 weeks ago. She experienced septic shock related to multiple infected wounds and was in the ICU for 2 weeks. She has been transferred to the floor for continued monitoring. Current goals are to enhance nutritional status, wean off enteral feeds, and increase mobility. The client is a vegetarian.
Flow Sheet
Tube feeds
1200: 80 mL
1600: 80 mL
2000: 0 mL
Oral intake
1200: 240 mL
1600: 660 mL.
2000: 500 mL
Urine output
1200: 300 mL
1600: 500 mL
2000: 340 mL
Review H and P, nurse's notes, and flow sheet.
The nurse educates the client on the importance of protein and energy intake as the client transitions to eating food.
Click to mark whether the statements by the client indicate understanding or no understanding of provided education.
Client Statements
This statement indicates an understanding. During recovery, the body's energy needs may increase, and an adequate caloric intake is essential for healing and maintaining overall health.
This statement is incorrect. Swelling in the hands and feet is not typically an indication of consuming too much protein. It could be related to various factors, including fluid retention, electrolyte imbalance, or other medical conditions. Choice C rationale:
This statement is incorrect. It is possible to get enough protein for proper healing with a well-planned vegetarian diet that includes a variety of protein sources.
This statement indicates an understanding. Some plant-based proteins may lack certain essential amino acids, but combining different plant-based protein sources can provide a complete amino acid profile.