An older adult client who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and eats only half of the food on the meal tray. The client's family expresses concern about the client's nutritional status. How should the nurse respond to the family's concern?
Suggest that the family bring foods from home that the client enjoys eating.
Explain that weight loss will be reversed after the acute phase of the stroke has ended.
Encourage the family to offer to feed the client when she does not eat her entire meal.
Demonstrate the use of visual scanning during meals to the client and family.
The Correct Answer is D
Choice A reason: Bringing foods from home may encourage eating but does not address the underlying issue of visual perception.
Choice B reason: Reassuring about weight loss recovery is not helpful in the immediate context of improving meal intake.
Choice C reason: Encouraging the family to feed the client may help but does not promote independence.
Choice D reason:
The correct answer is d) because teaching visual scanning techniques can help the client compensate for visual perception difficulties and increase food intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Platelet count is important for clotting but does not directly address the cause of fatigue in pernicious anemia.
Choice B reason: Liver enzymes are important for liver function but are not related to pernicious anemia.
Choice C reason:
The correct answer is c) because a complete blood count (CBC) provides information about hemoglobin and hematocrit levels, which are directly impacted by pernicious anemia and can explain the fatigue.
Choice D reason: Serum electrolytes are important but do not directly address the cause of fatigue in pernicious anemia.
Correct Answer is B
Explanation
Choice A reason: While being fair-skinned and older increases risk, exposure to UV radiation is a significant factor.
Choice B reason:
The correct answer is b) because a fair-skinned client who works outdoors (construction worker) has higher exposure to UV radiation, increasing the risk of skin cancer.
Choice C reason: Having a family history of skin cancer is a risk factor, but dark-skinned individuals have lower risk compared to fair-skinned individuals with high UV exposure.
Choice D reason: Tanning bed use increases risk, but fair-skinned individuals with prolonged UV exposure have a higher overall risk.
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