A 93-year-old resident eats only a few bites at meals and then refuses to eat more. Which intervention might the nurse use to help delay skin breakdown from diminished nutrition?
a. Spoon-feed the resident.
b. Request an order for a feeding tube.
c. Inform the resident of the need to increase intake.
d. Offer 4 ounces of fluid every hour.
D
Dehydration can cause loss of skin turgor and predisposes the skin to break down. Spoon-feeding and instructing about increased intake may only result in a power struggle with the resident.
You might also like to view...
During an assessment the assessment of a client admitted with new onset schizophrenia, the nurse observes the client repeating the last word of each question asked. Because of this, the client unable to completely answer any of the assessment questions
Which speech pattern in this client exhibiting? 1. Circumlocution 2. Flight of ideas 3. Neologisms 4. Echolalia
During a health history interview, a client reveals that her sister has cystic fibrosis and wants to know what chance she has of having a child with the disease
On which statement concerning autosomal recessive disorders such as cystic fibrosis does the nurse base the response? a. If both parents have siblings who have the disease, there is a 25 percent chance of a child inheriting the disease. b. If it is determined that she and her partner are carriers of the disease, there is a 1 in 4 chance each child could have cystic fibrosis. c. The only way to determine the hereditary risk is by a thorough examination of each parent's family tree. d. No test can tell whether she or her partner are carriers of the disease.
What is a question to ask for which evidence can be sought in a literature review for the issue of making decisions about dose?
A) When have data for this type of intervention typically been controlled? B) Does the literature suggest that effects deteriorate? C) Does the literature suggest that there are delayed effects? D) How intense have other similar interventions been?
The nurse assesses that the patient has right sided hemiparesis following a stroke. This individual most likely had ischemia to the
A) right side of the brain B) left side of the brain C) cerebellum D) medulla oblongata