The nurse is caring for an elderly client admitted with anemia and malnutrition. Which of the following health care prescriptions would the nurse anticipate being included in the plan of care?(Select All that Apply.)
Oral feeding supplements
Daily weights
Low Protein Diet
Monitor Pre-Albumin level
Calorie Count
Correct Answer : A,B,D,E
A. Oral feeding supplements are often included in the care plan for clients with malnutrition. They provide additional calories and nutrients that can help improve the client's nutritional status and support recovery. This is an appropriate prescription.
B. Daily weights are essential in monitoring the client’s fluid status and overall nutritional progress.
Weight changes can indicate improvements or worsening of the client’s condition, particularly in cases
of malnutrition or fluid retention. This is a valuable prescription.
C. A low protein diet is generally not appropriate for a client with anemia and malnutrition. Protein is essential for healing, maintaining muscle mass, and overall health. Instead, the care plan should emphasize adequate protein intake to support recovery and address nutritional deficiencies.
D. Monitoring pre-albumin levels is crucial in assessing the client's nutritional status. Pre-albumin is a sensitive marker for protein status and can help gauge the effectiveness of nutritional interventions. This is an important prescription to include.
E. Keeping a calorie count helps assess the client's intake and ensure that they are receiving adequate nutrition. This information is vital for adjusting the dietary plan as needed to meet the client’s caloric and nutritional needs. Therefore, this is a relevant prescription.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Antacids are typically used to neutralize stomach acid, which can provide relief for ulcer-related pain. If the pain worsens with antacids, it may suggest another underlying issue, such as a gastric ulcer or a different gastrointestinal condition.
B. This statement is more typical of gastric ulcers, where pain may occur shortly after eating due to increased gastric acid secretion. In duodenal ulcers, pain typically occurs a few hours after meals.
C. Duodenal ulcer pain often improves with eating because food temporarily buffers stomach acid, which can provide relief. Patients may find that their pain is relieved for a time after eating, as the food helps protect the ulcer.
D. This statement is not typically associated with duodenal ulcers. While some patients may experience variations in pain during the night, the relief during sleep is not a characteristic feature. The pain is usually more related to the timing of meals rather than sleep.
Correct Answer is C
Explanation
A. Epigastric pain is a common symptom of cholecystitis. Patients often experience pain in the upper abdomen, which can radiate to the right shoulder or back. This symptom is typical in cases of gallbladder inflammation.
B. Murphy's sign is a physical examination finding where the patient experiences pain upon palpation of the right upper quadrant during inspiration. This sign is indicative of gallbladder inflammation and is often associated with cholecystitis. Therefore, it is a manifestation of the condition.
C. Green colored stool is not typically associated with cholecystitis. Stool color can vary based on diet, medications, or the presence of bile. While pale or clay-colored stools can occur with obstruction of bile flow (such as with gallstones), green stools are more often related to rapid transit through the intestines, dietary factors, or certain infections rather than cholecystitis itself.
D. Nausea and vomiting are common symptoms of cholecystitis. Patients may experience these symptoms due to the inflammation and irritation of the gastrointestinal tract associated with gallbladder issues.
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