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Username- melaniewiszniewski

password- Already123

 

 

Resources: EHR Go -  https://web21.ehrgo.com/rd/?courseActivityId=73920

Activity:  Open the link to Homer Xiang, Sr (above).   Review Homer’s Chart.  Using the information in the chart, answer the following questions.

 

Using your textbook or any of the resources accessible in EHRgo, list the effects of a stroke that would influence his nutritional intake.    1 mark each =       /total 4 marks

 

2. Under the orders tab, the nurse notes that Homer has an order for a Speech Therapist (ST) Consult.  In bullet points, how would the ST evaluate for dysphagia?    Remember to further open to provide further details.                               /2 marks

 

3. Under the orders tab, the nurse notes that Homer has an order for a Flush PEG tubing.   Write out the general steps on how the nurse would perform this.   /4 marks

 

4. Identify the factors that may present a nutritional deficit problem for Homer.  Review the chart for unique Homer features.  Be sure to review the Problems Tab and the quick survey (under the vital sign tab).                                         1 mark each =       /4 marks

 

 

5. How will the nurse evaluate Homer’s nutritional status?   1 mark each assessment item =       5 marks

 

6. What is Homer’s BMI and what does it mean?                                                                                              1 mark for number, 1 mark for interpretation =  / 2 marks

     

7. Identify two advantages and two disadvantages are to administering enteral feedings.    /4 marks

 

Advantages

Disadvantages

1.

1.

2.

2.

 

8. The nurse is continually evaluating the client’s tolerance to enteral feed.  Identify three assessment findings that may indicate Homer is not tolerating his feedings?                                                                 1 mark each =       /3 marks

 

9. The nurse is preparing Homer for the next feeding.  What position is optimal for Mr. Xiang?  How long after the completing of the feeding, should Mr. Xiang remain in this position?                                          1 mark for position, 1 mark for length of time  =        /2 marks

 

10. The nurse is working an 8-hour shift.  Review Homer’s chart, including the order for his enteral feeds and flush.  What is the total intake for the shift?  You may exclude the flush pre/post medication                                                                                                                                                                      /3 marks

 

11. Mr. Xiang has right sided hemipilegia.  What principles should the nurse consider assisting the patient to the bedside chair?                        /2 marks

 

13. Review Vital Signs and identify if any measurement is outside of normal parameters?         /2 marks

 

14. Review Homer’s orders regarding urinary elimination.  You may double click the order to expand for further details.  Provide some discussion on whether you would or would not proceed with the         order.                                        /3 marks

 

SCIENCE
HEALTH SCIENCE
NURSING
NURSING PNL210