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 B

Explanation

A. Diluting formula with water can decrease the calorie and nutrient content of the formula and is not typically recommended for infants with gastroesophageal reflux.
B. Positioning the newborn at a 20-degree angle after feeding can help reduce gastroesophageal reflux by allowing gravity to assist in keeping stomach contents down.
C. Providing a small feeding just before bedtime may increase the risk of gastroesophageal reflux and should be avoided.
D. Placing the newborn in a side-lying position if vomiting is not recommended due to the risk of aspiration. Infants should be placed on their back to sleep to reduce the risk of sudden infant
death syndrome (SIDS).

A. Increased risk of infection B. Decreased sleeping time C. Elevated temperature D. Lowered intellectual performance

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.

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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

A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is planning a class for parents of school-age children about iron intake. Which of the following should the nurse include as a manifestation of iron deficiency?

Correct Answer is D

Explanation

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