Author Question: The nurse will be most concerned about the risk of malnutrition for a patient with which sensory ... (Read 21 times)

javeds · **on:** Jul 22, 2018

The nurse will be most concerned about the risk of malnutrition for a patient with which sensory deficit?

a. Xerostomia
b. Dysequilibrium
c. Diabetic retinopathy
d. Peripheral neuropathy

Question 2

A patient has both hearing and visual sensory impairments. Which psychological nursing diagnosis will the nurse add to the care plan?

a. Risk for falls
b. Self-care deficit
c. Social isolation
d. Impaired physical mobility

manuelcastillo · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

ANS: A
Xerostomia is a decrease in production of saliva; this decreases the ability and desire to eat and can lead to nutritional problems. The other options do not address taste- or nutrition-related concerns. Dysequilibrium is balance. Diabetic retinopathy affects vision. Peripheral neuropathy includes numbness and tingling of the affected areas and stumbling gait.

Answer to Question 2

ANS: C
In focusing on the psychological aspect of care, the nurse is most concerned about social isolation for a patient who may have difficulty communicating owing to visual and hearing impairment. Self-care deficit, impaired physical mobility, and fall risk are physiological risks for the patient.