A nurse is reinforcing healthy eating habits for an older adult client to ensure adequate dietary intake. Which of the following is an appropriate recommendation?

Consume a diet high in fat.

Drink 1 L (32 oz ) water each day.

Snack between meals.

Eat three large meals each day.

Answer and Explanation

The Correct Answer is C

A. Consume a diet high in fat: Older adults are at increased risk for cardiovascular disease, hyperlipidemia, and atherosclerosis. Diets high in saturated and trans fats contribute to elevated LDL cholesterol and increased cardiovascular risk. Nutritional recommendations emphasize lean proteins, healthy fats in moderation, and balanced intake rather than high-fat consumption.

B. Drink 1 L (32 oz) water each day: Older adults typically require about 1.5 to 2 liters of fluid daily unless contraindicated by conditions such as heart failure or renal disease. A daily intake of only 1 liter may be insufficient and increases the risk of dehydration, which is more common in older adults due to decreased thirst sensation.

C. Snack between meals: Smaller, more frequent meals and snacks can help maintain caloric intake in older adults who experience decreased appetite, early satiety, or altered taste sensation. Snacking between meals supports adequate nutrient consumption and helps prevent unintended weight loss or malnutrition.

D. Eat three large meals each day: Large meals may be difficult for older adults to tolerate due to decreased gastric motility and early satiety. This pattern can lead to inadequate intake if the client cannot finish meals. Smaller, more frequent meals are generally better tolerated and promote improved nutritional status.

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Free Nursing Study Resources

Correct Answer is ["360"]

Explanation

Convert ounces to milliliters

Ice cream: 4 oz × 30 mL/oz = 120 mL

Coffee: 8 oz × 30 mL/oz = 240 mL

Calculate total fluid intake

Total intake = 120 + 240

Total intake = 360 mL

A. A client who has a new onset of chest pain B. A client who has a tracheostomy C. A client who is receiving enteral feedings D. A client who has urinary retention

Correct Answer is A

Explanation

A. A client who has a new onset of chest pain: New-onset chest pain represents a potentially unstable and life-threatening condition that requires immediate comprehensive assessment, clinical judgment, and rapid intervention. Evaluation may involve interpretation of cardiac rhythms, hemodynamic monitoring. These responsibilities fall within the RN’s scope.

B. A client who has a tracheostomy: Clients with established tracheostomies are often considered stable if no acute complications are present. LPNs are generally trained to provide routine tracheostomy care, including suctioning and site care. Management focuses on maintaining airway patency and preventing infection rather than performing complex assessments.

C. A client who is receiving enteral feedings: Administration and monitoring of enteral feedings for stable clients are typically within the LPN scope of practice. Responsibilities include verifying tube placement per facility policy, maintaining feeding schedules, and monitoring for complications such as aspiration or intolerance.

D. A client who has urinary retention: Urinary retention in a stable client may require bladder assessment, catheterization, and monitoring of output. LPNs are commonly authorized to perform catheter insertion and provide routine urinary care under supervision. This assignment does not inherently involve complex clinical judgment unless accompanied by acute instability.

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A nurse is reinforcing healthy eating habits for an older adult client to ensure adequate dietary intake. Which of the following is an appropriate recommendation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["360"]

Explanation

A nurse is reviewing client care assignments prior to the beginning of a shift. Which of the following client assignments should the nurse identify as being outside the scope of practice for an LPN?

Correct Answer is A

Explanation

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