The MD orders insulin lispro 17 units subcutaneous.

The medication is supplied in 100 units/mL. How many mL will the nurse administer?

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.

Choice A rationale

Memory loss is more commonly associated with neurological conditions, vitamin B12 deficiency, or aging, rather than a lack of dietary fiber. Fiber primarily affects the digestive system and blood sugar control, not cognitive function.

Choice B rationale

Bleeding gums are typically a sign of vitamin C deficiency (scurvy) or poor oral hygiene leading to gingivitis. While overall nutrition is important for oral health, a lack of fiber specifically does not directly cause bleeding gums.

Choice C rationale

Brittle hair can be a symptom of various nutritional deficiencies, including protein, biotin, and iron, but it is not a primary indicator of inadequate fiber intake. Fiber mainly impacts bowel function and glucose metabolism.

Choice D rationale

Constipation, characterized by infrequent or difficult bowel movements, is a well-established consequence of inadequate dietary fiber intake. Fiber adds bulk to the stool, absorbs water, and facilitates peristalsis, the muscular contractions that move stool through the intestines. A lack of fiber can lead to harder, drier stools that are more difficult to pass. .