A nurse is caring for a client who is visually impaired. When delivering the client's meal tray, which of the following actions should the nurse take?

Describe the food placement as though the plate were a clock.

Provide the client with small-handled adaptive utensils.

Discourage conversations during the client's mealtime.

Arrange for an assistive personnel to feed the client.

Answer and Explanation

The Correct Answer is A

Choice A reason: This is the correct answer because describing the food placement as though the plate were a clock can help the client locate and identify the food items on their tray. For example, the nurse can say, "Your chicken is at 12 o'clock, your mashed potatoes are at 3 o'clock, and your green beans are at 9 o'clock."

Choice B reason: This is not an appropriate action because providing the client with small-handled adaptive utensils can make it harder for them to grip and manipulate the utensils and increase their frustration and dependence. The nurse should provide the client with large-handled or weighted adaptive utensils that can improve their dexterity and control.

Choice C reason: This is not an appropriate action because discouraging conversations during the client's mealtime can make them feel isolated and depressed and reduce their appetite and enjoyment of food. The nurse should encourage conversations during the client's mealtime and provide social support and stimulation.

Choice D reason: This is not an appropriate action because arranging for an assistive personnel to feed the client can compromise their dignity and autonomy and increase their dependence and helplessness. The nurse should respect the client's preferences and abilities and provide assistance only when necessary.

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Correct Answer is C

Explanation

Choice A reason: This is not a correct instruction because increasing daily intake of vitamin E has no proven benefit for preventing or treating osteoporosis. Vitamin E is an antioxidant that may protect cells from damage, but it does not affect bone density or strength.

Choice B reason: This is not a correct instruction because limiting vitamin D intake can increase the risk of osteoporosis. Vitamin D is essential for calcium absorption and bone health, and many postmenopausal women are deficient in vitamin D due to reduced sun exposure, skin aging, or dietary factors. The nurse should advise the client to get adequate vitamin D from food sources, such as fatty fish, egg yolks, or fortified dairy products, or from supplements as prescribed.

Choice C reason: This is a correct instruction because adding a weight-bearing exercise regimen can prevent or slow down bone loss and improve muscle strength and balance. Weight-bearing exercises are those that make the bones work against gravity, such as walking, jogging, dancing, or lifting weights. The nurse should recommend that the client perform at least 30 minutes of moderate-intensity weight-bearing exercise on most days of the week.

Choice D reason: This is not a correct instruction because taking calcium carbonate supplements once a day with breakfast can reduce the absorption and effectiveness of calcium. Calcium carbonate is a type of calcium supplement that requires an acidic environment in the stomach to dissolve and be absorbed, and it can interfere with the absorption of other nutrients, such as iron. The nurse should suggest that the client take calcium carbonate supplements with meals other than breakfast or switch to another form of calcium supplement, such as calcium citrate, that does not depend on stomach acidity.

A. Occupational therapist B. Social worker C. Herbalist D. Dietitian

Correct Answer is A

Explanation

Choice A reason: This is the correct answer because an occupational therapist can help the client regain function and mobility in the affected limb, prevent contractures and muscle atrophy, and provide adaptive equipment and strategies to perform daily activities.

Choice B reason: This is not an appropriate referral for this client because a social worker can help with psychosocial issues, financial resources, and community services, but not with physical rehabilitation.

Choice C reason: This is not an appropriate referral for this client because a herbalist can provide alternative or complementary therapies using plants or herbs, but not with evidence-based interventions for disuse syndrome.

Choice D reason: This is not an appropriate referral for this client because a dietitian can help with nutritional counseling and dietary modifications, but not with physical rehabilitation.

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A nurse is caring for a client who is visually impaired. When delivering the client's meal tray, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

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