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 : A,B,E

A.   Removing the bedpan from the client’s sight helps reduce feelings of embarrassment or nausea, promoting a more comfortable and appealing mealtime environment.
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 C

Explanation

A. Recommending a low-calorie formula would not address the issue of diarrhea. In fact, it may exacerbate it if the client is not receiving adequate nutrition.
B. Chilling the formula before administration is not likely to impact diarrhea and may not be comfortable for the client.
C. Slowing the rate of the feeding can help reduce the incidence of diarrhea by allowing the client's digestive system more time to process the nutrients, decreasing the risk of overwhelming the intestines.
D. Changing the infusion tubing every 48 hours is a routine procedure to prevent infection and is not directly related to managing diarrhea.

A. "I should notify the provider if I have increased thirst." B. "I should consume foods high in potassium." C. "I should use a salt substitute to season my foods." D. "I should take this medication at bedtime."

Correct Answer is A

Explanation

A. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, which can lead to symptoms such as increased thirst. Notifying the provider of increased thirst can help monitor for potential electrolyte imbalances.
B. Consuming foods high in potassium can exacerbate hyperkalemia, which is a potential side effect of spironolactone. Clients prescribed spironolactone are typically advised to avoid potassium-rich foods.
C. Using a salt substitute to season foods can increase sodium intake, which may counteract the effects of spironolactone and increase the risk of fluid retention and hypertension.
D. Taking spironolactone at bedtime is not typically recommended. It is usually taken in the morning to avoid disrupting sleep due to increased urination.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is receiving a continuous NG tube feeding and is experiencing frequent diarrhea. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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