A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan?

Have an assistive personnel feed the client.

Apply foam handles to the client's eating utensils.

Obtain a referral for physical therapy.

Ask the provider for a prescription for a pureed diet.

Answer and Explanation

The Correct Answer is B

Apply foam handles to the client's eating utensils. This intervention can help the client grip the utensils better and improve their ability to eat.

Reasons why the other options are not answers:

Option A: Having an assistive personnel feed the client may decrease the client's autonomy.

Option C: Obtaining a referral for physical therapy may be helpful but does not address the immediate issue of difficulty with eating.

Option D: Asking the provider for a prescription for a pureed diet may not be necessary or desirable at this time.

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Correct Answer is C

Explanation

The correct answer is c. Apply a moist saline dressing to the area.

Choice A reason: Obtaining a set of vital signs is important, but it is not the immediate priority in this situation. The vital signs will not address the protruding organs directly.

Choice B reason: Flexing the client’s knees and hips may provide comfort but does not directly address the issue of the open incision and protruding organs.

Choice C reason: Applying a moist saline dressing to the area is the correct action. It helps to protect the protruding organs by keeping them moist and reduces the risk of organ damage or infection. This is the priority action to keep the organs moist and reduce the risk of tissue damage until surgical repair can be done.

Choice D reason: Elevating the head of the client’s bed 20° may be part of the overall care plan, but it is not the immediate priority when dealing with protruding organs from an open abdominal incision.

A. Orange juice B. Cream of broccoli soup C. Lime ice popsicle D. Vanilla pudding

Correct Answer is C

Explanation

The correct answer is choice C. Lime ice popsicle.

Choice A rationale:

Orange juice is acidic and can irritate the stomach lining, which is not ideal for someone recovering from gastroenteritis.Acidic foods and drinks can exacerbate symptoms like nausea and stomach pain.

Choice B rationale:

Cream of broccoli soup is not recommended because it is a dairy-based product.Dairy can be difficult to digest and may worsen symptoms like diarrhea and stomach cramps during the recovery phase of gastroenteritis.

Choice C rationale:

Lime ice popsicle is a good choice because it is a clear liquid that can help with hydration and is easy on the stomach.Ice popsicles can also help soothe the throat and provide a small amount of sugar for energy without overwhelming the digestive system.

Choice D rationale:

Vanilla pudding, although soft, contains dairy, which can be hard to digest for someone recovering from gastroenteritis.Dairy products can lead to further gastrointestinal discomfort.

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A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic arthritis. Which of the following interventions should the nurse include in the plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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