The family of a client who is dying and being cared for at home is requesting information on how best to prepare food. Which suggestion by the nurse may stimulate appetite?

Eating alone so the client can eat at his own pace and not be hurried

Preparing cool or cold foods that may be better tolerated

Providing several choices on the plate so that the client has what may appeal to him

Offering high caloric foods to build fat and muscle

Answer and Explanation

The Correct Answer is B

A. Eating alone so the client can eat at his own pace and not be hurried: While avoiding pressure during meals can help, eating alone may contribute to social isolation and decrease interest in food. Mealtime companionship often encourages intake and comfort.
B. Preparing cool or cold foods that may be better tolerated: Cool or cold foods often have less odor and are easier to tolerate, especially for clients with nausea or decreased appetite. This can reduce sensory overload and make eating more pleasant.
C. Providing several choices on the plate so that the client has what may appeal to him: Too many options at once can be overwhelming and reduce appetite in some clients. Simpler, smaller servings may be more effective than offering multiple foods at once.
D. Offering high caloric foods to build fat and muscle: While calorie-dense foods are useful, the primary goal in end-of-life care is comfort and appetite stimulation, not rebuilding muscle. Forcing high-calorie intake can lead to resistance or nausea.

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Correct Answer is D

Explanation

A. Metabolic acidosis: This condition typically results from excessive acid accumulation or bicarbonate loss, such as in kidney failure or diarrhea. It is not associated with gastric fluid loss via suction.
B. Respiratory acidosis: Respiratory acidosis is caused by hypoventilation leading to CO₂ retention. It is unrelated to nasogastric suction and does not reflect the primary concern for this client.
C. Respiratory alkalosis: This occurs due to hyperventilation and excessive loss of CO₂, often from anxiety or pain. It is not a risk in a client with GI fluid loss from suction.
D. Metabolic alkalosis: Nasogastric suction removes hydrochloric acid from the stomach, leading to a loss of hydrogen ions. This results in an increased bicarbonate concentration, predisposing the client to metabolic alkalosis.

A. Dyspnea when ambulating from the bathroom B. A noted irregular pulse rate prior to Lanoxin (digoxin) administration C. Pulsus paradoxus on vital sign assessment D. Cyanosis with a pulse oximetry level of 92%

Correct Answer is C

Explanation

A. Dyspnea when ambulating from the bathroom: Mild exertional dyspnea is common in cardiac clients and may not require immediate provider notification unless it worsens or becomes unrelieved with rest.
B. A noted irregular pulse rate prior to Lanoxin (digoxin) administration: An irregular pulse may warrant holding the medication and further assessment, but it is not always an emergency unless associated with hemodynamic instability or bradycardia.
C. Pulsus paradoxus on vital sign assessment: Pulsus paradoxus, a significant drop in systolic blood pressure during inspiration, may indicate cardiac tamponade or severe pericardial effusion. It is a critical finding that requires immediate medical attention.
D. Cyanosis with a pulse oximetry level of 92%: While cyanosis is concerning, a SpO₂ of 92% may be acceptable for some cardiac or pulmonary patients. Further monitoring is needed, but it may not require urgent notification unless oxygen levels drop further.

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The family of a client who is dying and being cared for at home is requesting information on how best to prepare food. Which suggestion by the nurse may stimulate appetite?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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