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.
Assess for pain prior to mealtime.
Administer antiemetics following the meal.
Discourage snacks between meals.
Provide mouth care before feeding.
Correct Answer : B,E
A. Removing the bedpan from the client's sight is not directly related to addressing malnutrition risk.
B. Assessing for pain prior to mealtime is important because pain can interfere with appetite and eating, contributing to malnutrition.
C. Administering antiemetics following the meal may address nausea or vomiting, but it does not address the underlying factors contributing to malnutrition.
D. Discouraging snacks between meals may not be appropriate for all clients at risk for malnutrition, especially if they have poor oral intake during meals. Snacks may be necessary to provide additional nutrition and calories.
E. Providing mouth care before feeding helps improve oral hygiene, which can enhance the client's appetite and ability to eat.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Eggs are one of the most common food allergens in toddlers and young children. Allergic reactions to eggs can range from mild to severe, including anaphylaxis.
B. Citrus fruits are not typically among the top allergens in toddlers.
C. Bananas are not typically among the top allergens in toddlers.
D. Milk is another common allergen in toddlers, but eggs tend to be a higher risk for allergies in this age group.
Correct Answer is A
Explanation
A. A hoarse voice can indicate difficulty swallowing or dysphagia, as aspiration of food or liquid into the airway can cause irritation and inflammation of the vocal cords.
B. Expressive aphasia is a language disorder characterized by difficulty expressing language verbally or in writing and is not directly related to dysphagia.
C. Continuous smiling is not typically associated with dysphagia and may indicate a different neurological or psychological issue.
D. Weight gain is not a direct manifestation of dysphagia but may occur due to other factors such as decreased mobility or changes in dietary habits.
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