A nurse is contributing to the plan of care of a client who is in a long-term care facility.
To improve the client's nutritional status, which of the following nursing interventions should the nurse recommend adding to the plan? Provide soft foods.

Minimize the use of seasoning.

Limit finger foods.

Serve small, frequent meals.

Offer three large meals daily.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Minimizing the use of seasoning can decrease palatability and potentially reduce the client's food intake, negatively impacting their nutritional status. Flavorful foods can stimulate appetite and encourage better nutrient consumption.

Choice B rationale

Limiting finger foods may restrict autonomy and reduce intake for clients who have difficulty using utensils. Finger foods can provide independence and increase caloric intake for some individuals in long-term care.

Choice C rationale

Serving small, frequent meals can improve nutritional intake by preventing early satiety and providing a consistent supply of nutrients throughout the day. This approach is often beneficial for individuals with decreased appetite or difficulty tolerating large meals.

Choice D rationale

Offering three large meals daily might be overwhelming for some clients in long-term care who may have reduced appetites, slower digestion, or other medical conditions that make it difficult to consume large quantities of food at once.

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Correct Answer is D

Explanation

Choice A rationale

High-fiber cereals are generally avoided on a soft diet because their roughage content can be difficult to digest and may cause gastrointestinal discomfort. A soft diet aims to minimize digestive work.

Choice B rationale

Fruit with the skin contains a significant amount of fiber, which is not appropriate for a soft diet. The skin is often the toughest part of the fruit and requires more digestion.

Choice C rationale

Raw vegetables are typically high in fiber and have a firm texture, making them difficult to chew and digest for individuals on a soft diet. Cooking vegetables softens their fibers.

Choice D rationale

Ground beef, when cooked thoroughly and is tender, is a suitable protein source for a soft diet. The grinding process breaks down the muscle fibers, making it easier to chew and digest compared to whole cuts of meat.

A. Increase consumption of canned tuna and salmon. B. Consume oranges and bananas. C. Limit intake of dried fruits. D. Avoid cow's milk.

Correct Answer is B

Explanation

Choice A rationale

Canned tuna and salmon, while sources of protein and omega-3 fatty acids, are not particularly high in potassium. Clients taking potassium-wasting diuretics need foods rich in potassium to replace the electrolytes lost through increased urination.

Choice B rationale

Oranges and bananas are excellent sources of potassium. Potassium is an essential electrolyte that is often depleted by potassium-wasting diuretics like furosemide or hydrochlorothiazide. Consuming these fruits helps maintain adequate potassium levels, which are crucial for cardiac function and muscle contraction. The normal range for serum potassium is typically 3.5-5.0 mEq/L.

Choice C rationale

Dried fruits, such as apricots and raisins, are high in potassium. However, the question asks what the nurse *should* include, and while dried fruits are beneficial, fresh fruits like oranges and bananas are often more readily available and consumed in larger quantities.

Choice D rationale

Cow's milk contains potassium but is not specifically emphasized for clients on potassium-wasting diuretics. Other food sources like fruits and vegetables generally provide a more direct and often higher concentration of potassium without the added phosphorus and calcium found in milk, which may be considerations for some individuals.

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A nurse is contributing to the plan of care of a client who is in a long-term care facility.To improve the client's nutritional status, which of the following nursing interventions should the nurse recommend adding to the plan? Provide soft foods.

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Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client about nutrition.The client has hypertension and is taking a potassium-wasting diuretic.Which of the following dietary instructions should the nurse include in the teaching?

Correct Answer is B

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A nurse is contributing to the plan of care of a client who is in a long-term care facility.
To improve the client's nutritional status, which of the following nursing interventions should the nurse recommend adding to the plan? Provide soft foods.