A nurse is caring for an older adult client who requires high-calorie liquid nutritional supplements. Which of the following actions should the nurse take to ensure the client consumes the supplement?
Have the client swallow his medications with the supplement.
Enhance the flavor of supplements by serving them warm.
Leave an opened supplement at the bedside throughout the day.
Offer the supplement as a substitute for one of the client's daily meals.
The Correct Answer is B
Choice A rationale:
Having the client swallow medications with the supplement might not be appropriate, as some medications may interact with the nutritional supplement or alter its effectiveness. It's important to assess each medication's compatibility with the supplement and consult with a pharmacist if needed.
Choice B rationale:
Enhancing the flavor of supplements by serving them warm can improve their palatability and encourage the client to consume them. Cold supplements might be less appealing, and warming them could make them more enjoyable, especially for older adults who might have altered taste perceptions.
Choice C rationale:
Leaving an opened supplement at the bedside throughout the day is not recommended. Nutritional supplements should be consumed within a specified time frame to ensure their safety and efficacy. Opened liquids are susceptible to contamination and spoilage, which could be harmful to the client.
Choice D rationale:
Offering the supplement as a substitute for one of the client's daily meals is not a suitable approach without proper guidance from a healthcare provider or registered dietitian. High-calorie liquid supplements are intended to supplement the client's regular meals, not replace them entirely. Adequate overall nutrition is essential for the client's well-being.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Diluting formula with water is not a recommended practice. Formula should be prepared according to the manufacturer's instructions to provide the appropriate balance of nutrients for the newborn. Diluting formula can lead to inadequate nutrition and potential health risks.
Choice B rationale:
Placing the newborn in a side-lying position if vomiting is not advised. Gastroesophageal reflux refers to the backward flow of stomach contents into the esophagus. Placing the newborn in a side-lying position can increase the risk of choking if vomiting occurs. Keeping the baby upright for some time after feeding helps reduce reflux episodes.
Choice C rationale:
Providing a small feeding just before bedtime can exacerbate gastroesophageal reflux. It's recommended to avoid feeding the baby right before bedtime to prevent reflux-related discomfort during sleep. Elevating the head of the crib slightly can also help minimize reflux symptoms.
Choice D rationale:
Positioning the newborn at a 20-degree angle after feeding is a suitable instruction. This position helps prevent or reduce gastroesophageal reflux by allowing gravity to assist in keeping stomach contents down. It's important to hold the baby in an upright position for about 20 to 30 minutes after feeding to facilitate digestion and minimize reflux episodes.
Correct Answer is A
Explanation
Choice A rationale:
Allowing the toddler to feed himself is an important aspect of promoting autonomy and developing fine motor skills. It encourages self-sufficiency and exploration of different food textures. However, close supervision is necessary to ensure the toddler's safety during feeding.
Choice B rationale:
Avoiding snacks between meals is not the most appropriate instruction for a toddler's nutritional needs. Toddlers have smaller stomach capacities and higher energy requirements due to their rapid growth. Healthy snacks can help meet their nutritional needs and prevent excessive hunger between meals.
Choice C rationale:
Providing different food for the toddler than the parents is not recommended. Ideally, toddlers should be exposed to the same nutritious foods that the family consumes. This practice helps establish healthy eating habits and exposes the toddler to a variety of foods.
Choice D rationale:
Setting meal times immediately after physical activity is not necessarily beneficial. While regular physical activity is important for toddlers, scheduling meals immediately after activity might lead to poor appetite or discomfort. It's generally better to ensure the toddler is well-rested and hungry before meals.
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