2026 HESI Case Study Altered Nutrition Questions and Answers, Complete Complete And Study material 8pages LEARNEXAMS

1. The nurse's assessment findings include right-sided weakness, slurred speech, and dysphagia. The nurse identifies that the client is at high risk for several problems. Of the client problems addressed on the nursing plan of care, which is of the highest priority problem?: Answer: A) Aspiration. Rationale: Aspiration, or the entry of foreign substances such as food or fluids into the lungs, may cause hypoxia or respiratory distress. Therefore, this is the highest priority in establishing the client's plan of care. 2. After establishing priorities, the nurse should take which action next in developing the client's plan of care?: Answer: B) Establish outcomes. Rationale: The nurse should first complete the assessment, then analyze the assessed data to identify problems, and then establish outcomes. After the expected outcomes are established, the nurse plans and implements interventions, which are then evaluated to determine if the expected outcomes were accomplished. 3. The nurse plans interventions related to the client's dysphagia. To which member of the inter-professional team should the nurse obtain a referral order?: Answer: