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19.10.3: What Should the Nurse Do?
Opening the book…
What Should the Nurse Do?
1 .
Anna, a patient with anorexia nervosa, is being monitored by her nurse, who has noticed some improvement in Anna’s condition. Although Anna reports feeling better, she struggles with eating enough and is fearful of gaining weight. The nurse acknowledges these challenges and reassures Anna about the goal of achieving a healthy and strong state.
How can the nurse determine if the implemented nutritional strategies are effective for Anna?
John, a patient recently diagnosed with mouth cancer, has just completed his first week of radiation therapy. He reports experiencing severe oral pain and difficulty swallowing, which have made it hard for him to maintain adequate nutrition. The nurse caring for John notes he appears fatigued, and he complains of weight loss.
2 .
Which diagnostics and laboratory tests will the nurse review first for John to determine the next steps in care?
3 .
How will the nurse evaluate the effectiveness of John's care plan?
You are caring for a patient who has recently undergone ileostomy surgery. Despite initial success with ostomy care, you notice during your assessment the peristomal skin around the ileostomy is red and irritated, and the patient complains of itching and burning in the area.
4 .
Describe how you would approach this scenario to provide effective care and support for the patient.
5 .
The patient refuses to look at the stoma or participate in changing the pouching system. What are some suggestions to help your patient adjust to the stoma?