Skip to ContentGo to accessibility pageKeyboard shortcuts menu
OpenStax Logo
Clinical Nursing Skills

What Should the Nurse Do?

Clinical Nursing SkillsWhat Should the Nurse Do?

What Should the Nurse Do?

Mr. Curtis is a 47-year-old patient admitted to the hospital with increased weakness, fatigue, and dehydration. His skin appears dry, and tenting occurs when skin turgor is evaluated. He is currently undergoing chemotherapy treatment for multiple myeloma and has experienced weight loss of ten pounds within the last two weeks. He describes that “nothing tastes good,” and he feels as if there is “a metal taste in his mouth.” When he does eat small meals, he reports that he is often nauseous. The patient’s serum protein level is 3.1 g/dL.
1 .
What assessment cues should the nurse recognize?
2 .
Based on the assessment information that has been gathered, what are some nursing interventions that can be created for Mr. Curtis?
Mr. Jones is a 67-year-old patient on the medical-surgical floor who recently underwent a bowel resection. He is post-op Day 2 and has been NPO since surgery. He has been receiving intravenous fluids but has been asking about when he can resume eating.
3 .
What assessments should be performed to determine if the patient’s diet can be progressed?
4 .
What are the first steps during dietary transition from NPO status?
Mrs. Casey is a 78-year-old widow who recently had a stroke and continues to experience mild right-sided weakness. She is currently receiving physical therapy in a long-term care facility and ambulates with the assistance of a walker. Mrs. Casey confides, “I am looking forward to going home, but I will miss the three meals a day here.” Her height is 5′2″ and she weighs 84 pounds. Her recent lab work results include the following: hgb 8.8 g/dL; WBC 3,500; magnesium 1.4 mg/dL; albumin 10 g/dL.
5 .
What is Mrs. Casey’s BMI, and what does this number indicate?
6 .
Analyze Mrs. Casey’s recent lab work, and interpret the findings.
7 .
Describe focused assessments the nurse should perform regarding Mrs. Casey’s nutritional status.

This book may not be used in the training of large language models or otherwise be ingested into large language models or generative AI offerings without OpenStax's permission.

Want to cite, share, or modify this book? This book uses the Creative Commons Attribution License and you must attribute OpenStax.

Attribution information
  • If you are redistributing all or part of this book in a print format, then you must include on every physical page the following attribution:
    Access for free at
  • If you are redistributing all or part of this book in a digital format, then you must include on every digital page view the following attribution:
    Access for free at
Citation information

© Jun 25, 2024 OpenStax. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution License . The OpenStax name, OpenStax logo, OpenStax book covers, OpenStax CNX name, and OpenStax CNX logo are not subject to the Creative Commons license and may not be reproduced without the prior and express written consent of Rice University.