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.

Assess for pain prior to mealtime.

Administer antiemetics following the meal.

Discourage snacks between meals.

Provide mouth care before feeding.

Answer and Explanation

Correct Answer : B,E

A.   Removing the bedpan from the client's sight is not directly related to addressing malnutrition risk.
B.   Assessing for pain prior to mealtime is important because pain can interfere with appetite and eating, contributing to malnutrition.
C.   Administering antiemetics following the meal may address nausea or vomiting, but it does not address the underlying factors contributing to malnutrition.
D.   Discouraging snacks between meals may not be appropriate for all clients at risk for malnutrition, especially if they have poor oral intake during meals. Snacks may be necessary to provide additional nutrition and calories.
E.   Providing mouth care before feeding helps improve oral hygiene, which can enhance the client's appetite and ability to eat.

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Correct Answer is D

Explanation

A. Iron deficiency can lead to impaired immune function and may increase the risk of infections, but it is not typically characterized by an increased risk of infection.
B. Iron deficiency can cause fatigue and weakness, which may result in increased sleeping time rather than decreased sleeping time.
C. Iron deficiency does not typically cause an elevated temperature. Elevated temperature may be a sign of infection or other underlying medical conditions.
D. Lowered intellectual performance, including impaired cognitive function and difficulties with learning and memory, can occur as a result of iron deficiency anemia. Iron is essential for the proper functioning of the brain and nervous system, and inadequate iron intake can lead to cognitive deficits, especially in children.

A. Use a syringe to give the client fluids. B. Tilt the client's head forward when swallowing. C. Schedule physical therapy directly before mealtime. D. Encourage the client to complete the meal within 15 min.

Correct Answer is B

Explanation

A. Using a syringe to give the client fluids is not directly related to preventing aspiration during mealtime.
B. Tilt the client's head forward when swallowing helps to facilitate the movement of food down the esophagus and reduces the risk of aspiration by preventing food from entering the trachea.
C. Scheduling physical therapy directly before mealtime may increase the risk of aspiration due to potential fatigue or increased weakness during meal consumption.
D. Encouraging the client to complete the meal within 15 minutes may lead to rushed eating, increasing the risk of aspiration. It's more important to focus on safe swallowing techniques and taking adequate time to eat slowly.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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