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.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Nutrisystems is a commercial weight loss program that provides pre-packaged meals. While it may be effective for some, it is not directly sponsored by the USDA and might not align with the specific dietary recommendations promoted by the government for overall health.

Choice B rationale

MyPlate is a nutritional guide developed by the United States Department of Agriculture (USDA). It is designed to help Americans make healthier food choices by illustrating the five food groups and providing recommendations on portion sizes and a balanced diet. This is a direct resource sponsored by the USDA.

Choice C rationale

Weight Watchers (now WW) is a commercial weight loss program that utilizes a points system to guide food choices and encourages group support. While it can be a helpful resource for weight management, it is not a USDA-sponsored program.

Choice D rationale

eDiets.com is a commercial website that offers various diet plans, recipes, and fitness advice. While it may provide useful information for some individuals, it is not a resource directly sponsored or developed by the USDA.

A. Use sterile water to irrigate the tube. B. Keep the head of the bed elevated at least 30 degrees at all times. C. Moisten the client's lips with lemon glycerin swabs. D. Measure the client's abdominal girth.

Correct Answer is B

Explanation

Choice A rationale

Sterile water is not the preferred solution for routine irrigation of a gastrostomy tube. Typically, tap water is recommended for irrigation in most home and long-term care settings for established PEG tubes, as it is cost-effective and generally safe. Sterile water is usually reserved for initial post-operative irrigation or in immunocompromised patients as per specific physician orders.

Choice B rationale

Keeping the head of the bed elevated at least 30 degrees is crucial for a client with a gastrostomy tube, especially one who has dysphagia and is at high risk for aspiration. Elevating the head of the bed helps to prevent reflux of stomach contents into the esophagus and subsequent aspiration into the lungs, reducing the risk of aspiration pneumonia. This position should be maintained during and after feedings and medication administration.

Choice C rationale

While maintaining oral hygiene is important for all patients, including those with gastrostomy tubes, moistening the client's lips with lemon glycerin swabs is generally discouraged. Lemon glycerin swabs can dry out the mucous membranes of the mouth and may not provide adequate hydration. Plain water or a moisturizing oral swab is a better choice for maintaining oral comfort.

Choice D rationale

Measuring the client's abdominal girth can be a useful assessment for detecting abdominal distension, which might indicate feeding intolerance or other complications related to the gastrostomy tube. However, it is not a primary intervention immediately following PEG tube placement. Ensuring proper positioning to prevent aspiration is a more critical initial intervention for a client with dysphagia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

Correct Answer is B

Explanation

Which of the following items on the tray should the nurse remove?

A nurse is teaching a patient about the importance of balancing proteins, carbohydrates, and fats in the diet.The nurse identifies that the teaching about carbohydrates is understood when the patient states that carbohydrates are known for providing which of the following?

The nurse is assessing a patient's bowel sounds.The nurse does not hear anything for 30 seconds.How should the nurse document this finding?

During an abdominal assessment, the nurse is unable to hear bowel sounds in a patient's abdomen.Before reporting this finding as silent bowel sounds, the nurse should listen for at least:

A client is receiving total parenteral nutrition (TPN). The nurse enters the room and discovers that the container only has 15 minutes of solution left.She calls the pharmacy and is told that the next bag will not be available for another hour.What must the nurse do next?

A nurse is assisting with teaching a client who is on a soft diet.Which of the following foods should the nurse include in the teaching?

A nurse is preparing to administer an enteral feeding via an established NG tube. Identify the sequence the nurse should follow to initiate the feeding. (Move the steps into the box on the right, placing them in the selected order of performance. Use all the steps.)

Which of the following nutritional therapies should the nurse expect to include in the plan of care?

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.