A nurse is feeding a client. Which statement would help a person maintain dignity while being fed?
"I am going to feed you your cereal first, and then your eggs."
"I wish I had more time so I could feed you all of your meal."
"I know you don't like me to feed you, but you need to eat."
"What part of your dinner would you like to eat first?"
The Correct Answer is D
a) "I am going to feed you your cereal first, and then your eggs.": This statement may sound patronizing, as it takes control away from the client. It doesn’t respect the person’s autonomy or preference.
b) "I wish I had more time so I could feed you all of your meal.": This statement implies pity and undermines the client's dignity by suggesting they are a burden. It could make the client feel less valued.
c) "I know you don't like me to feed you, but you need to eat.": This statement does not respect the client’s autonomy or dignity. It implies frustration and does not address the client’s preferences in a respectful way.
d) "What part of your dinner would you like to eat first?": This statement gives the client choice and respects their dignity by involving them in the decision-making process. It maintains the client’s sense of control and autonomy during the feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
a) "Have you been having diarrhea?" This is a risk factor or cause of hypokalemia but not a symptom of it. Good to ask, but not the most direct sign.
b) "Have you been experiencing difficulty breathing?" Severe hypokalemia can lead to respiratory muscle weakness, but it is not a common early symptom.
c) "Have you been experiencing chest pain?" Chest pain is not a common symptom of hypokalemia. It could signal cardiac issues, but not specific to low potassium.
d) "Have you been experiencing muscle weakness or leg cramps?" Classic symptoms of hypokalemia due to potassium’s role in muscle contraction and nerve conduction.
Correct Answer is A
Explanation
a) Providing a skin barrier for any drainage at the site: Protecting the skin from moisture or drainage prevents further irritation or breakdown. Skin barriers help maintain skin integrity.
b) Turn the client to the side: Positioning may help with aspiration prevention but does not address skin irritation around the G-tube site.
c) Apply adhesive bandage directly to the skin: Adhesive bandages can further irritate or damage already sensitive skin and are not recommended for irritated or moist areas.
d) Keep the head of bed 25 degrees: While semi-Fowler’s positioning (30–45°) is good for preventing aspiration, this is unrelated to treating skin irritation directly.
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