Page 14 - Altered Obstructive Nursing Care

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Imbalanced Nutrition: Less Than Body

Requirements

Related to

• Dyspnea
• Sputum production
• Medication side effects
• Anorexia
• Nausea/vomiting
• Decrease food intake due to fatigue

Outcomes

• Display progressive weight gain toward the goal as appropriate.
• Demonstrate behaviors/lifestyle changes to regain and/or maintain an appropriate weight.

Nursing Interventions Rationale

Nursing Assessment

Ascertain understanding of individual To determine informational needs of the client
nutritional needs and significant others.

Patient in acute respiratory distress is often
anorectic because of dyspnea, sputum
production, and medications. In addition,
many COPD patients habitually eat poorly,
Assess dietary habits, recent food intake. Note even though respiratory insufficiency creates a
the degree of difficulty with eating. Evaluate hypermetabolic state with increased caloric
weight and body size (mass).
needs. As a result, the patient often is
admitted with some degree of malnutrition.
People who have emphysema are often thin
with wasted musculature.

Diminished or hypoactive bowel sounds may
reflect decreased gastric motility
Auscultate bowel sounds. and constipation (a common complication)
related to limited fluid intake, poor food
choices, decreased activity, and hypoxemia.

Useful in determining caloric needs, setting a
Weigh the patient daily as indicated. weight goal, and evaluating the adequacy of
nutritional plan.

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