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.
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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Related Questions
Correct Answer is D
Explanation
A. Lettuce is not known for being high in potassium; it is mostly water and fiber.
B. Grapes contain potassium, but not as much as some other fruits and vegetables.
C. Apple slices do contain potassium, but they are not the richest source among the options provided.
D. Cooked tomatoes are an excellent source of potassium, with one cup providing a significant amount of the mineral necessary to help correct hypokalemia.
Correct Answer is ["A","B","C","D"]
Explanation
- Uneaten meals suggest that the client is not consuming the food provided, which can lead to inadequate intake of nutrients and calories, thus indicating possible malnutrition.
- A wound that won't heal can be a sign of malnutrition, as proper nutrition is essential for wound healing and maintenance of skin integrity.
- Rough and dry skin can be indicative of malnutrition, particularly if there is a deficiency in essential fatty acids and other nutrients that maintain skin health.
- Edema to the face and lower extremities can be a sign of protein-energy malnutrition, where the body does not get enough protein to maintain plasma oncotic pressure, leading to fluid accumulation in tissues.
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