A nurse is feeding a visually impaired client who is unable to feed themselves. How should the nurse manage the feeding for this client?
Inform the client of what food is being offered with each spoon/forkful
Provide ground and pureed foods to reduce aspiration risk
Ensure that the client is eating at brisk pace
Request a full liquid diet so the client can drink the meal
The Correct Answer is A
A. Inform the client of what food is being offered with each spoon/forkful: Narrating each item and using an orientation method (e.g., clock-face placement) promotes independence, reduces anxiety, and helps the client safely identify foods.
B. Provide ground and pureed foods to reduce aspiration risk: Ground/pureed textures are used when there is a swallowing (dysphagia) risk; visual impairment alone does not require texture modification and could unnecessarily limit intake.
C. Ensure that the client is eating at brisk pace: Encouraging a fast pace may increase choking/aspiration risk and reduce enjoyment; allow an appropriate, unhurried pace.
D. Request a full liquid diet so the client can drink the meal: Full liquids are indicated for specific medical/swallowing reasons, not for visual impairment; this change is not needed solely because the client is visually impaired.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The client has just ambulated back from the bathroom: Recent physical activity can transiently raise temperature, but it is not a strong contraindication to oral measurement; allow a short rest if possible.
B. The client reports he sleeps supine: Sleep position is irrelevant to the suitability of oral temperature measurement.
C. The client has dentures: Dentures should be removed for oral temperature placement or the probe positioned properly under the tongue; dentures alone are not an absolute contraindication but require brief adjustment.
D. The client has just drank a hot beverage: Recent ingestion of hot (or cold) liquids will falsely alter oral temperature readings; wait (usually 15–30 minutes) before using an oral thermometer.
Correct Answer is B
Explanation
A. Bronchovesicular: Bronchovesicular sounds are normal breath sounds heard over central airways and are not adventitious findings of bronchoconstriction.
B. Wheezing: Wheezes are high-pitched, musical sounds produced by airflow through narrowed airways and are commonly heard with bronchoconstriction (e.g., asthma).
C. Rales: Rales (crackles) are discontinuous sounds often associated with fluid in the alveoli (e.g., pulmonary edema, pneumonia), not bronchoconstriction.
D. Bruit: A bruit is an abnormal vascular sound heard over arteries and is unrelated to lung auscultation.
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