Author Question: A nurse is caring for an elderly, visually impaired client who needs assistance with feeding. How ... (Read 114 times)

mikaylakyoung · **on:** Jul 22, 2018

A nurse is caring for an elderly, visually impaired client who needs assistance with feeding. How should the nurse best manage the feeding for this client?

A) Request a full-liquid, mechanically soft diet for the client.
B) Develop a rapport with the client and promote continuity of care.
C) Inform the client about what kind of food is being offered with each mouthful.
D) Ensure that one portion of food is swallowed before offering another.

Question 2

A nurse needs to instill eye medication in a client with conjunctivitis. Which of the following actions should the nurse take to distribute the medication over the surface of the eye?

A) Gently rub the client's eyelids.
B) Make a pouch in the lower eyelid.
C) Ask the client to blink his or her eye.
D) Instill medication drops in the client's upper eyelid.

tanna.moeller · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
It is important to inform visually impaired clients about the food in each mouthful, to help them eat properly. The importance of developing a rapport with the client is not specific to visually impaired clients. It is necessary to provide liquid or soft diets to clients who have missing teeth or have had recent oral surgery. When caring for clients who have difficulty chewing and swallowing food, the nurse must determine that the client has swallowed one portion of food before offering another.

Answer to Question 2

C
Feedback:
To distribute the eye medication over the surface of the eye, the nurse should ask the client to blink his or her eyes, rather than rubbing them. In order to provide a natural reservoir for liquid medication, the nurse makes a pouch in the lower lid by pulling the skin downward over the bony orbit. To prevent injury and blink reflexes, the nurse should not instill medication in the upper eyelid, but should steady the medication container and move it from below the client's line of vision or from the side of the eye.