The nurse is caring for a client from India who has extensive ...

[Arii_bell]

The nurse is caring for a client from India who has extensive deep tissue damage. The nurse notes that the client is also vegan.
 
  Which dietary information should the nurse teach this client to enhance the healing process?
  A) A low-fat, high-carbohydrate, low-protein diet is best for healing.
  B) A high-fat, low-carbohydrate diet is best for healing.
  C) A high-carbohydrate, high-protein diet is best for healing.
  D) A diet high in protein and vitamin D is best for healing.

Question 2

The nurse is planning care for an older adult client with a head injury sustained from a motor vehicle crash. Which information should the nurse keep in mind when planning this client's care? Select all that apply.
 
  A) Anxiety, illness, and pain can alter the ability to learn.
  B) Reflexes are less intense in an older client.
  C) Impulse transmission and reactions to stimuli are slower.
  D) The plantar and Achilles reflexes are hyperactive in this age group.
  E) Impairment in vision and hearing should be taken into consideration.

[gcook]

Answer to Question 1

Answer: C

Carbohydrates are important to meet the energy demands of healing, and protein is needed is needed for cell growth. The vegan client needs to be taught to eat proteins that provide the essential amino acids that can be lacking in a vegan diet. Fats are needed in moderation for the development of cell membranes. Vitamins necessary to promote healing are C, K, A, and the B-complex vitamins.

Answer to Question 2

Answer: A, C, E

In the older client, anxiety, illness, and pain can alter the ability to learn. Reflexes are less intense in an older client. Responses to stimuli are slower because of reduced impulse transmission. Many older adults have some impairment of hearing and visions, which should be taken into consideration when planning care. Reflex responses may slightly increase or decrease. Many older clients show a loss of the Achilles reflex, and the planar reflex may be difficult to elicit.