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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
1 cup cooked green peppers. Green peppers are a good source of vitamin C but do not contain a significant amount of folate. Folate is important for preventing neural tube defects in a developing fetus.
Choice B rationale:
1 cup mashed potatoes. While potatoes contain some folate, especially in their skins, they do not have as high an amount as other options. Additionally, mashed potatoes may not retain all of their folate content after cooking and preparation.
Choice C rationale:
1 cup cooked carrots. Carrots are not a substantial source of folate. They are more known for their beta-carotene content, which is converted into vitamin A in the body.
Choice D rationale:
1 cup cooked lentils. Lentils are an excellent source of folate, providing a substantial amount per serving. Folate is essential for preventing neural tube defects in the early stages of pregnancy. Including folate-rich foods like lentils in the diet can be highly beneficial for individuals planning to become pregnant.
Correct Answer is C
Explanation
Choice Arationale:
Applying low intermittent suction is used for nasogastric tube management to remove excess air or gastric contents and is not directly related to addressing cramping and abdominal distention. This action doesn't address the underlying issue.
Choice Brationale:
Increasing the rate of feeding is not the appropriate action to take in response to cramping and abdominal distention. It might worsen the discomfort and potentially overload the client's gastrointestinal system, leading to more issues.
Choice C rationale:
(Correct Choice) Checking for gastric residual is the appropriate action in this scenario. Cramping and abdominal distention can indicate delayed gastric emptying, which might be caused by an accumulation of feeding within the stomach. By checking for gastric residual, the nurse can assess whether there is a significant amount of residual feeding present, which might require adjusting the feeding rate or intervention.
Choice D rationale:
Requesting a higher-fat formula is not the initial action to take when the client reports cramping and abdominal distention. It assumes that the discomfort is due to the formula's composition, which might not be the case. First, assessing for gastric residual and considering other factors is important before changing the formula.
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