A nurse is caring for a client who has AIDS and anorexia. Which of the following actions should the nurse take to increase the client's body weight?
Offer the client fluids with meals.
Increase fiber in the client's diet.
Encourage the client to eat less protein.
Provide supplemental vitamins and supplemental nutrition.
The Correct Answer is D
A. Offer the client fluids with meals. Offering fluids with meals may decrease the client's appetite by creating a sense of fullness, which could further reduce calorie intake and not aid in weight gain.
B. Increase fiber in the client's diet. While fiber is important for digestive health, it may also contribute to a feeling of fullness and might not directly help in increasing body weight in clients with anorexia.
C. Encourage the client to eat less protein. Protein is essential for maintaining muscle mass and overall health, especially in clients with AIDS. Reducing protein intake would not be beneficial for weight gain or health maintenance.
D. Provide supplemental vitamins and supplemental nutrition. Offering supplemental nutrition and vitamins can help increase caloric intake and ensure that the client receives essential nutrients to support weight gain and overall health. This is the most appropriate action to help increase the client's body weight.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Increasing forgetfulness and confusion: These symptoms are more characteristic of Alzheimer's disease or other types of dementia, not Parkinson's disease. While cognitive decline can occur in later stages of PD, it is not typically an initial symptom.
B. Tremors and muscle rigidity: Tremors (often starting in one hand) and muscle rigidity are hallmark initial symptoms of Parkinson's disease. These motor symptoms are among the most common early manifestations.
C. Visual disturbances and muscle weakness: Visual disturbances are not typically associated with early Parkinson's disease, and muscle weakness is not an initial symptom but could occur later due to rigidity and bradykinesia.
D. Fatigue and respiratory difficulties: While fatigue can occur, respiratory difficulties are not typically initial symptoms of Parkinson's disease and are more associated with later stages or other conditions.
Correct Answer is A
Explanation
A. Risk for aspiration: The gag reflex is crucial for preventing aspiration. An absent gag reflex significantly increases the risk of food or fluids entering the airway, leading to aspiration pneumonia or choking.
B. Risk for falls: While risk for falls is a concern in stroke patients, the immediate risk related to the absence of the gag reflex is more directly associated with aspiration.
C. Risk for impaired skin integrity: Impaired skin integrity is important but is a secondary concern compared to the risk of aspiration due to the absence of the gag reflex.
D. Decreased intracranial adaptive capacity: This diagnosis relates to the brain's ability to adapt to changes. While important, it is less immediately relevant compared to the risk of aspiration from the loss of the gag reflex.
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