A nurse in a long-term care facility is implementing a nutrition plan for a client who is at risk for malnutrition. Which of the following actions should the nurse include in the plan? (Select all that apply.)
Remove the bedpan from the client's sight.
Provide mouth care before feeding.
Assess for pain prior to mealtime.
Administer antiemetics following the meal.
Correct Answer : B,C
A) Remove the bedpan from the client's sight: This action is not directly related to addressing malnutrition. While it may improve the client's comfort and environment, it does not contribute directly to addressing nutritional needs.
B) Provide mouth care before feeding: This action is appropriate. Ensuring good oral hygiene, including mouth care before meals, can stimulate the appetite and enhance the client's ability to taste and enjoy food. It also helps prevent infections and discomfort associated with poor oral hygiene.
C) Assess for pain prior to mealtime: This action is essential. Pain can significantly affect a client's appetite and ability to eat. By assessing for pain before mealtime, the nurse can identify any discomfort that might interfere with the client's ability to consume food and address it promptly.
D) Administer antiemetics following the meal: While antiemetics may be necessary for some clients who experience nausea or vomiting during or after meals, their administration should be based on individual assessment and prescription by a healthcare provider. Routine administration of antiemetics following meals is not standard practice and may not be appropriate for all clients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["42"]
Explanation
The nurse should set the IV pump to deliver approximately 42 mL/hr.
Here's the calculation:
Total volume of infusion (mL): 1,000 mL
Infusion time (hours): 24 hours
Flow rate (mL/hr) = Total volume (mL) / Infusion time (hours)
Flow rate (mL/hr) = 1,000 mL / 24 hours = 41.6666667 mL/hr (round to nearest whole number as requested)
Therefore, the nurse should set the pump to deliver 42 mL/hr.
Correct Answer is B
Explanation
A) Increased protein intake is generally beneficial for wound healing. Protein provides the essential amino acids necessary for tissue repair and regeneration. Therefore, this would not be considered a barrier to wound healing.
B) Decreased vitamin C intake can be a barrier to wound healing. Vitamin C plays a crucial role in collagen synthesis, which is essential for wound repair and tissue regeneration. Without an adequate supply of vitamin C, the body's ability to form strong connective tissue at the wound site may be compromised, leading to delayed healing.
C) Increased caloric intake can actually be beneficial for wound healing, especially if the client is undernourished or experiencing metabolic stress. Adequate caloric intake provides the energy necessary for cellular activities involved in the healing process, including immune function and tissue repair.
D) Decreased fat intake may not necessarily be a barrier to wound healing. While certain types of fats, such as omega-3 fatty acids, can have anti-inflammatory effects and support overall health, excessive intake of unhealthy fats may contribute to inflammation and impair healing. However, fat intake alone is unlikely to be a significant barrier to wound healing compared to deficiencies in other essential nutrients like protein or vitamin C.
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