Nutrition checklists

Question 1

Name aspiration precautions 6 assessment steps

Answer 1

1. assess pt’s knowledge of aspiration risks
2. mental status assessment
3. nutritional assessment
4. determine aspiration risk, assess for dysphagia
5. assess oral health (missing teeth, oral hygiene, denture fit)
6. observe during mealtime for dysphagia, fatigue

Question 2

Planning - aspiration precaution

Answer 2

Identify expected outcomes

Question 3

Implementation of aspiration precautions (18 steps)

Answer 3

1. hh, 2. indicate aspiration / dysphagia risk on chart, 3. pulse oximeter, 4. positioning, 5. penlight/ tongue blade to inspect for pocketing of food, 6. swallow test - chin tuck position, note respiratory issues, 7. thicken thin liquids, 8. encourage self-feeding, 9. remind not to tilt head back, 10. place proper amount of food in unaffected side, let utensil touch mouth, 11. tell patient to think about swallowing, remind to chew, 12. avoid mixing diff. textures, 13. minimize distractions, don’t rush, 14. use sauces - cohesive bolus, 15. report signs of dysphagia, aspiration to physician, 16. sit upright after meal, 17. oral hygiene, 18. hh

Question 4

Evaluation - aspiration precautions (5)

Answer 4

1. evaluate cough and ability to manage secretions, swallowing liquids and foods, 2. weigh pt, 3. monitor I&O, calories, 4. monitor pulse oximetry if high risk, 5. ID unexpected outcomes

Question 5

Enteral nutrition assessment

Answer 5

1. clinical status and need for en, 2. food allergies, 3. physical assessment of abdomen, 4. BL weight, serum electrolyte and blood glucose, fluid vol. excess/ deficit, metabolic abnormalities, 5. verify order for formula type, rate, route, frequency

Question 6

planning - EN

Answer 6

identify outcomes, explain procedure to pt

Question 7

implementation -EN

Answer 7

1. obtain formula (verify f., check exp. date), proper temp., 2. prepare f. - aseptic, shake, clean top with alcohol swab, connect tubing (closed system), pour (open s.), 3. open roller clamp to fill bag, clamp, 4. position pt, 5. verify tube placement, check GRV, , 6. change bag every 24 hr, 7. flush - ask dietitian to for total water, obtain order, 8.