A nurse in a long-term care facility is implementing a nutrition plan for a client who is at risk for malnutrition. Which of the following actions should the nurse include in the plan? (Select all that apply.)

Remove the bedpan from the client's sight.

Provide mouth care before feeding.

Assess for pain prior to mealtime.

Administer antiemetics following the meal.

Answer and Explanation

Correct Answer : B,C

A) Remove the bedpan from the client's sight: This action is not directly related to addressing malnutrition. While it may improve the client's comfort and environment, it does not contribute directly to addressing nutritional needs.

B) Provide mouth care before feeding: This action is appropriate. Ensuring good oral hygiene, including mouth care before meals, can stimulate the appetite and enhance the client's ability to taste and enjoy food. It also helps prevent infections and discomfort associated with poor oral hygiene.

C) Assess for pain prior to mealtime: This action is essential. Pain can significantly affect a client's appetite and ability to eat. By assessing for pain before mealtime, the nurse can identify any discomfort that might interfere with the client's ability to consume food and address it promptly.

D) Administer antiemetics following the meal: While antiemetics may be necessary for some clients who experience nausea or vomiting during or after meals, their administration should be based on individual assessment and prescription by a healthcare provider. Routine administration of antiemetics following meals is not standard practice and may not be appropriate for all clients.

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Correct Answer is D

Explanation

A) Total parenteral nutrition (TPN) typ”cally contains a balance of macronutrients, including carbohydrates, fats, and proteins. While TPN may have higher concentrations of fats and proteins compared to standard enteral nutrition, it is not necessarily lower in carbohydrates. The composition of TPN is individualized based on the client's specific nutritional needs.

B) TPN does provide glucose to ma’ntain blood sugar levels within the expected range, but it also provides other nutrients necessary for cellular function and tissue repair. While glucose is an essential component of TPN, it is not the sole purpose of TPN administration.

C) TPN formulations typically contain higher levels of vitamins and minerals than the recommended daily intake to meet the increased metabolic demands of clients who are unable to meet their nutritional needs orally. However, the primary purpose of TPN is to provide essential nutrients, not solely to exceed recommended daily intakes of vitamins.

D) The statement that TPN is needed to bypass the gastrointestinaI tract is correct. TPN is administered intravenously, providing nutrients directly into the bloodstream, bypassing the gastrointestinal tract. This method is used when the gastrointestinal tract is unable to adequately absorb or tolerate enteral feedings, as in the case of acute kidney injury or other conditions that impair gastrointestinal function.

A. "You should limit carbohydrate intake to 30 grams per day." B. "Y“u should consume 500 fewer calories per day." C. "You sho”ld f“llow a liquid meal plan for 4 weeks." D. "You ”houl“ consume high-calorie foods early in the day."

Correct Answer is B

Explanation

A) "You should limit carbohydrate intak” to 30 grams per day": While“reducing carbohydrate intake can be part of a weight man”gement plan, setting a specific limit of 30 grams per day may not be appropriate or sustainable for everyone. Carbohydrates are an essential macronutrient and provide energy for the body, especially for individuals with higher energy needs. Additionally, focusing solely on carbohydrate restriction may overlook other important aspects of a balanced diet.

B) "You should consume 500 fewer calories per day": This instruction“aligns with the principles of weight manageme”t for individuals with a BMI of 35, which falls within the obese category. A reduction of 500 calories per day is often recommended for gradual and sustainable weight loss. This approach typically results in a weight loss of about 1 pound per week, which is considered safe and achievable for many individuals.

C) "You should follow a liquid meal plan for 4 weeks": While liquid “eal plans can be effective for some individuals as part of a structured weight loss proecommendey are not universally recommended or suitable for everyone. Liquid diets should be supervised by healthcare professionals and tailored to individual needs and preferences. Additionally, following a liquid meal plan for an extended period may not provide the necessary variety of nutrients found in solid foods.

D) "You should consume high-calorie foods early in the day": While m“al timing can impact metabolism and energy levels, the”e is no evidence to suggest that consuming high-calorie foods specifically early in the day is beneficial for weight management. Instead, focusing on balanced meals and snacks throughout the day, with attention to portion sizes and nutrient density, is generally recommended for promoting satiety and supporting weight loss efforts.

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A nurse in a long-term care facility is implementing a nutrition plan for a client who is at risk for malnutrition. Which of the following actions should the nurse include in the plan? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has acute kidney injury and has been prescribed total parenteral nutrition (TPN). When educating the client on the use of TPN, which of the following information should the nurse include?

Correct Answer is D

Explanation

A nurse is providing calorie-count information to a client who has a BMI of 35. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

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