A resident's family member is concerned that the resident is not eating adequately and is at risk for malnutrition. The family member says to a nurse, "I heard that there are drugs that can make my mother eat better. Do you think she should be on one?" What is the best response by the nurse?
"Use of drugs results in minimal improvement in appetite and weight gain and can have some serious side effects."
There are no drugs that impact appetite or weight gain."
These drugs are not permitted to be used in a long term care facility"
Yes, there are some very effective drugs out there. Your mother should be on one of them
The Correct Answer is A
A. "Use of drugs results in minimal improvement in appetite and weight gain and can have some serious side effects."
Explanation: It is important for the nurse to provide accurate and balanced information about the use of drugs to stimulate appetite. While there are medications available that may be prescribed to improve appetite in certain situations, it is crucial to convey that the effectiveness of such drugs is limited, and they can also have potential serious side effects. Additionally, the decision to use appetite-stimulating drugs should be carefully considered, taking into account the individual's overall health, medical conditions, and potential risks associated with the medications.
B. "There are no drugs that impact appetite or weight gain."
Explanation: This statement is not accurate, as there are medications that may impact appetite and weight gain. However, the effectiveness and appropriateness of such medications should be assessed on a case-by-case basis.
C. "These drugs are not permitted to be used in a long term care facility."
Explanation: This statement is not accurate. The use of appetite-stimulating drugs may be permitted in long-term care facilities, but their use is typically based on individual assessment and consideration of potential risks and benefits.
D. "Yes, there are some very effective drugs out there. Your mother should be on one of them."
Explanation: This statement oversimplifies the decision-making process and may not provide adequate information about the potential risks and benefits of appetite-stimulating drugs. The decision to use such drugs should be made in consultation with the healthcare team, considering the individual's specific circumstances.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. HIPAA (Health Insurance Portability and Accountability Act)
Explanation: HIPAA, enacted in 1996, focuses on protecting the privacy and security of individuals' health information. While it is essential in healthcare, it is not directly connected to the nursing home reform mandated by the 1987 law.
B. OASIS (Outcome and Assessment Information Set)
Explanation: OASIS is a set of standardized assessments used in home health care, primarily for Medicare-certified home health agencies. It is not directly connected to the nursing home reform mandated by the 1987 law.
C. Fulmer SPICES
Explanation: Fulmer SPICES is a tool used for assessing common geriatric syndromes, but it is not specifically associated with the nursing home reform mandated by the 1987 law.
D. Resident Assessment Instrument (RAI).
Explanation: The Resident Assessment Instrument (RAI) is associated with nursing home reform mandated by the Omnibus Budget Reconciliation Act (OBRA) of 1987. OBRA '87 established regulations and standards for nursing homes, including requirements for comprehensive assessments, care planning, and quality of care. The RAI, specifically the Minimum Data Set (MDS), is a standardized assessment tool used to evaluate the health status and needs of nursing home residents, ensuring a consistent and comprehensive approach to resident assessment and care planning.
Correct Answer is ["C","D","E","F"]
Explanation
A. Stroke under the chin in a downward motion.
Explanation: Stroking under the chin in a downward motion is not considered a standard technique for managing dysphagia. It's important to focus on strategies that promote safe swallowing and prevent aspiration.
B. Keep pulse oximeter ready at all times.
Explanation: While monitoring oxygen saturation is important in certain situations, having a pulse oximeter ready at all times may not be a routine instruction for feeding a client with dysphagia. Monitoring for signs of distress and ensuring a safe feeding environment are key aspects of care.
C. Avoid rushing the client or force feeding her.
Explanation: Rushing or force-feeding a client with dysphagia can increase the risk of aspiration. It's important to allow the client to eat at their own pace and take adequate time to chew and swallow safely.
D. If facial weakness is present, place food on the impaired side of the mouth.
Explanation: Placing food on the impaired side of the mouth can help compensate for facial weakness and promote more effective chewing and swallowing.
E. Alternate solid and liquid boluses.
Explanation: Alternating solid and liquid boluses can help with the overall coordination of the swallowing process. It can also facilitate the movement of food and liquids through the digestive tract.
F. Have the client sit at 90 degrees during all of oral intake.
Explanation: Ensuring that the client sits at a 90-degree angle during oral intake helps promote an upright position that aids in swallowing and reduces the risk of aspiration.
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