When planning interventions to promote a client's appetite, which of the following would be included in the client's plan?

Unpleasant or uncomfortable treatments can be performed before or after a meal.

Provide unfamiliar food to try.

Provide a tidy, clean environment that is free of unpleasant sights or odors.

Encourage or provide oral hygiene after mealtime.

Answer and Explanation

Correct Answer : C,D

When planning interventions to promote a client's appetite, it would be important to include providing a tidy, clean environment that is free of unpleasant sights or odors and encouraging or providing oral hygiene after mealtime in the client's plan. A pleasant and comfortable environment can help stimulate the appetite and make mealtime more enjoyable. Good oral hygiene can also help improve the taste of food and promote appetite. Unpleasant or uncomfortable treatments should not be performed before or after a meal as they may decrease the client's appetite. Providing unfamiliar food may not be helpful in promoting appetite as clients may prefer familiar and comforting foods.

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Correct Answer is C

Explanation

A diet high in protein can help maintain skin integrity in older adults. Protein is essential for tissue repair and wound healing. The other options may not be as effective in maintaining skin integrity. For example, repositioning the client every 3 hours may not be frequent enough to prevent pressure ulcers. Applying cornstarch to keep the skin dry may not be the best option as it is important to keep the skin moisturized. Massaging bony prominences to promote circulation may not be recommended as it could cause damage to fragile skin.

A. Stage II pressure ulcer B. Stage IV pressure ulcer C. Stage I pressure ulcer D. Stage III pressure ulcer

Correct Answer is A

Explanation

A stage II pressure ulcer is a wound that presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. This type of wound is caused by unrelieved pressure on the skin, resulting in damage to the underlying tissue. In this scenario, the nurse notes an area of tissue injury on the client's sacral area that matches the description of a stage II pressure ulcer. Stage I pressure ulcers are characterized by non-blanchable erythema of intact skin, while stage III and IV pressure ulcers involve full-thickness tissue loss and may expose underlying muscle, bone, or other structures.

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When planning interventions to promote a client's appetite, which of the following would be included in the client's plan?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an older adult client who is at risk for skin breakdown. The nurse should use which of the following interventions to help maintain the integrity of the client's skin?

Correct Answer is C

Explanation

While performing a bed bath, the nurse notes an area of tissue injury on the client's sacral area. The wound presents as a shallow open ulcer with a red-pink wound bed and partial thickness loss of dermis. What is the correct name of this wound?

Correct Answer is A

Explanation

A client visits a health care facility reporting loss of appetite following a prolonged illness. How should the nurse document the client's condition?

A nurse is conducting an assessment on a client diagnosed with narcolepsy. The nurse should anticipate which of the following findings? Select all that apply.

The nurse is using the PED model to write a nursing diagnosis. Which nursing diagnoses demonstrate that the nurse used this model appropriately? Select all that apply.

The nurse has been caring for a client for several days and has assessed that he has been eating poorly during his hospitalization. Which nursing measure should the nurse implement to assist the client in improving his nutritional intake?

The nurse is admitting a new client to the unit. The nurse notes that this client would need an alternate meal choice when the menu specified pork for a meal. Members of which cultural group might request an alternative meal choice?

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