A patient has been blind for several years because of complications with diabetes mellitus.
Which should the nurse do to assist this patient with meals?
Explain to the patient where items are located on the plate according to the hours on a clock.
Encourage eating one food at a time according to the preferences of the patient.
Order finger foods that are permitted on the patient's diet.
Feed the patient the prescribed meal.
The Correct Answer is A
Choice A rationale
Explaining the location of food items on the plate using the clock face analogy (e.g., "your meat is at 12 o'clock, your vegetables are at 3 o'clock") provides a consistent and easily understandable spatial reference for a visually impaired patient. This method allows the patient to independently locate and access different food items, promoting autonomy during meals.
Choice B rationale
Encouraging eating one food at a time based on preference does not directly address the challenge of navigating the plate when blind. While respecting preferences is important, it doesn't provide a systematic way for the patient to know where each food item is located.
Choice C rationale
Ordering finger foods might seem helpful, but it limits the variety and nutritional balance of the patient's diet. Not all foods can be easily eaten with fingers, and this approach does not promote independence in eating a regular meal.
Choice D rationale
Feeding the patient completely removes their independence and can be disempowering. The goal is to assist the patient in maintaining as much autonomy as possible, and explaining food placement allows them to eat independently.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Explaining the location of food items on the plate using the clock face analogy (e.g., "your meat is at 12 o'clock, your vegetables are at 3 o'clock") provides a consistent and easily understandable spatial reference for a visually impaired patient. This method allows the patient to independently locate and access different food items, promoting autonomy during meals.
Choice B rationale
Encouraging eating one food at a time based on preference does not directly address the challenge of navigating the plate when blind. While respecting preferences is important, it doesn't provide a systematic way for the patient to know where each food item is located.
Choice C rationale
Ordering finger foods might seem helpful, but it limits the variety and nutritional balance of the patient's diet. Not all foods can be easily eaten with fingers, and this approach does not promote independence in eating a regular meal.
Choice D rationale
Feeding the patient completely removes their independence and can be disempowering. The goal is to assist the patient in maintaining as much autonomy as possible, and explaining food placement allows them to eat independently.
Correct Answer is ["1"]
Explanation
The correct answer is 1 mL.
Step 1 is: Examine the medication label to determine the concentration of epoetin. The label indicates a concentration of 30,000 units per 1 mL.
Step 2 is: Set up the calculation to find the volume needed by dividing the ordered dose by the concentration: 30,000 units ÷ (30,000 units/mL).
Step 3 is: Perform the division: 30,000 ÷ 30,000 = 1.
Step 4 is: The units cancel out, leaving the volume in milliliters: 1 mL. Final answer is 1 mL.
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