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The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement?

Develop a seating chart for the main dining room based on the unit to facilitate a more organized and efficient meal delivery

Provide nutritious food according to the residents' expressed food preferences.

Replace the fluorescent lighting with candles at every table to create a cozy, restaurant-like atmosphere.

Distribute "med-pass nutritional supplements.

Answer and Explanation

Correct Answer : B,D

B. Provide nutritious food according to the residents' expressed food preferences.

Explanation: Offering nutritious food based on residents' preferences can enhance their satisfaction with meals, making them more likely to eat and maintain adequate nutritional intake. Taking individual preferences into account helps create a more person-centered approach to nutrition.

D. Distribute "med-pass" nutritional supplements.

Explanation: Nutritional supplements may be beneficial for residents who have difficulty meeting their nutritional needs through regular meals. "Med-pass" supplements can be distributed with medications or as a separate supplement to enhance calorie and nutrient intake, especially for those with specific dietary requirements.

The other options are not recommended:

A. Develop a seating chart for the main dining room based on the unit to facilitate a more organized and efficient meal delivery.

Explanation: While organization and efficiency are important, creating a seating chart based on the unit might not directly address the nutritional status of residents. Instead, focus should be on providing appetizing, nutritious meals and accommodating residents' preferences.

C. Replace the fluorescent lighting with candles at every table to create a cozy, restaurant-like atmosphere.

Explanation: While creating a pleasant dining environment is important, replacing fluorescent lighting with candles may not be practical or safe in a healthcare setting. Moreover, the emphasis should be on the nutritional content of the meals rather than the ambiance.

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Correct Answer is C

Explanation

A. Keeps room temperature at 72°F.

Explanation: Maintaining a room temperature of 72°F is generally considered comfortable and is not likely to contribute to hyperthermia, especially when compared to higher temperatures. However, it's essential to consider individual preferences and comfort levels.

B. Has a history of osteoarthritis.

Explanation: Osteoarthritis itself is not directly associated with an increased risk of hyperthermia. However, limitations in mobility or difficulties with self-care due to osteoarthritis might indirectly impact the ability to stay cool and hydrated, so comprehensive care should consider the overall health status of the individual.

C. Takes furosemide 40 mg daily.

Explanation: Furosemide is a diuretic that increases urine production, leading to fluid loss. Dehydration or electrolyte imbalances resulting from diuretic use can contribute to an increased risk of hyperthermia, especially in hot weather. It's important for healthcare providers to monitor and manage medications, considering their potential effects on fluid balance and thermoregulation.

D. Bathes daily with a hot shower.

Explanation: While taking hot showers may contribute to temporary elevation of body temperature, bathing alone may not be a significant contributor to hyperthermia. However, if an older adult has difficulty tolerating heat or maintaining hydration, it's essential to consider the cumulative impact of various factors.

A. "Use of drugs results in minimal improvement in appetite and weight gain and can have some serious side effects." B. There are no drugs that impact appetite or weight gain." C. These drugs are not permitted to be used in a long term care facility" D. Yes, there are some very effective drugs out there. Your mother should be on one of them

Correct Answer is A

Explanation

A. This response provides the family member with accurate information about the limited effectiveness of drugs in improving appetite and weight gain, along with the potential for serious side effects. It promotes informed decision-making.

B. Stating that there are no drugs that impact appetite or weight gain is not entirely accurate. Some drugs may have an impact, but the effectiveness varies, and they often come with potential side effects.

C. Blanket's statements that these drugs are not permitted in long-term care facilities are not accurate. The use of medications should be based on individual assessment and treatment plans.

D. Saying "Yes, there are some very effective drugs out there. Your mother should be on one of them" is not an appropriate response. It oversimplifies the situation and may not reflect the individualized approach needed in assessing and addressing nutritional concerns.

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The nurse is trying to improve the nutritional status of residents in the nursing home. Which recommendations should the nurse implement?

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Naxlex Comprehensive Predictor Exams

Which patient assessment data does the nurse recognize could contribute to an older adult's risk of hyperthermia?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

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