A Patient Is Extremely Hyperactive,distractible,and Rarely Sleeps

question 13

Multiple Choice

A patient is extremely hyperactive,distractible,and rarely sleeps.The patient eats little,resulting in a loss of 6 pounds since admission 3 days ago.Which measure is a priority when developing a plan for the patient's care?

• A) Require that the patient remain in the dining room for at least 15 minutes per meal.
• B) Offer high-calorie "portable" finger foods and nutritionally fortified fluids hourly.
• C) Document all food and fluid intake.
• D) Weigh the patient daily.

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Definitions:

Nursing Diagnosis

An assessment concerning the reactions of an individual, family, or community to real or possible health issues or life events, which forms the foundation for choosing nursing actions.

Colostomy

A surgical procedure where a portion of the colon is brought through an opening in the abdominal wall to create a stoma for waste elimination.

Impaired Skin Integrity

A condition where the skin is broken, damaged, or has an area of breakdown, indicating a disruption to its normal structure and function.

Ostomy Appliance

A medical device used to collect waste from a surgically created opening in the body, such as a stoma, following an ostomy surgery.