A nurse is caring for a client who has bilateral eye patches in place following an injury.
When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?

Ask the client if she would prefer a liquid diet.

Assign an assistive personnel to feed the client.

Explain to the client that her tray is here and place her hands on it.

Describe to the client the location of the food on the tray.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Asking the client if she would prefer a liquid diet does not promote independence in eating. It may limit the client’s dietary options and does not address the need for the client to learn how to eat independently with bilateral eye patches.

Choice B rationale

Assigning an assistive personnel to feed the client does not promote independence. It makes the client reliant on others for feeding, which does not help in developing self-feeding skills.

Choice C rationale

Explaining to the client that her tray is here and placing her hands on it is a step towards promoting independence. However, it does not provide enough information for the client to locate and identify the food items on the tray independently.

Choice D rationale

Describing to the client the location of the food on the tray promotes independence by enabling the client to use her sense of touch and memory to locate and consume the food items without assistance.

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Correct Answer is B

Explanation

Choice A rationale

Rephrasing statements the client does not hear is helpful but not the priority action. The priority is to determine if the client uses hearing aids to ensure they can hear instructions and communication effectively.

Choice B rationale

Determining if the client uses hearing aids is the priority action. Ensuring the client has and uses their hearing aids can significantly improve communication and care.

Choice C rationale

Speaking using the usual tone of voice and directly in front of the client is important but secondary to ensuring the client has their hearing aids.

Choice D rationale

Using hand gestures to communicate can be helpful but is not the priority action. The primary focus should be on ensuring the client has their hearing aids for optimal hearing.

A. Multiple sexual partners. B. Multiple pregnancies. C. Late onset of menarche. D. Use of a diaphragm.

Correct Answer is A

Explanation

Choice A rationale

Multiple sexual partners increase the risk of human papillomavirus (HPV) infection, which is a significant risk factor for cervical cancer.

Choice B rationale

Multiple pregnancies are not a significant risk factor for cervical cancer.

Choice C rationale

Late onset of menarche is not a significant risk factor for cervical cancer.

Choice D rationale

Use of a diaphragm is not a significant risk factor for cervical cancer. .

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A nurse is caring for a client who has bilateral eye patches in place following an injury. When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?

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A nurse is caring for a client who has bilateral eye patches in place following an injury.
When the client’s food tray arrives, which of the following interventions should the nurse take to promote independence in eating?