A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan?

Have an assistive personnel feed the client.

Apply foam handles to the client's eating utensils.

Obtain a referral for physical therapy.

Ask the provider for a prescription for a pureed diet.

Answer and Explanation

The Correct Answer is B

Apply foam handles to the client's eating utensils. This intervention can help the client grip the utensils better and improve their ability to eat.

Reasons why the other options are not answers:

Option A: Having an assistive personnel feed the client may decrease the client's autonomy.

Option C: Obtaining a referral for physical therapy may be helpful but does not address the immediate issue of difficulty with eating.

Option D: Asking the provider for a prescription for a pureed diet may not be necessary or desirable at this time.

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Correct Answer is C

Explanation

Yankauer catheter. A Yankauer catheter is a suction device used for oral suctioning. It is important for this client to have access to a Yankauer catheter for safe and effective suctioning of secretions from the mouth.

Option A is incorrect because an Oropharyngeal airway is used to maintain or open the airway.

Option B is incorrect because the water-soluble lubricant is used for lubricating the suction catheter during suctioning.

Option D is incorrect because sterile gloves are not routinely needed for suctioning.

Reasons why the other options are not answered: Option A: An oropharyngeal airway is not used for suctioning but is used to maintain an open airway in an unconscious patient. Option B: Water-soluble lubricant is used for lubricating the suction catheter during suctioning. Option D: Sterile gloves are not routinely needed for suctioning.

A. Recent exposure to tuberculosis B. History of generalized anxiety disorder C. Reports periodic migraine headaches D. Experiences nocturia E. Experiences nocturia

Correct Answer is A

Explanation

Recent exposure to tuberculosis. This is the priority data that the nurse should address as it puts other clients and hospital staff at risk of contracting tuberculosis. Options B, C, and D are not urgent and can be addressed after addressing option A.

Reasons why the other options are not answers:

Option B: A history of generalized anxiety disorder is not an urgent issue that requires the nurse's immediate attention.

Option C: Reports periodic migraine headaches are not an urgent issue that requires the nurse's immediate attention.

Option D: Experiencing nocturia is not an urgent issue that requires the nurse's immediate attention.

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A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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