Author Question: The client has not been eating well since he was admitted to the long-term care facility. When the ... (Read 23 times)

dmcintosh · **on:** Aug 2, 2018

The client has not been eating well since he was admitted to the long-term care facility. When the advanced practice nurse (APN) comes to the facility to see her clients, the nurse mentions her concerns about the nutritional status of this client.

The APN notes that one of the client's orders is for a can of liquid dietary supplement to be given between meals three times a day. What may the client be experiencing as a result of taking this supplement? Select all that apply. A) Loss of appetite D) Taste fatigue
B) Increased sugar and fat E) Increased hunger
C) Decreased calcium

Question 2

Mrs. S was diagnosed with diverticular disease about 8 years ago but has never had diverticulosis, whereas her cousin has had several episodes that have required a hospital admission.

At her clinic visit she asks the nurse what nutritional steps she can take to avoid diverticulosis in the future. The best reply the nurse can make is: 1. A high-fiber diet which will help to reduce the development of diverticulosis. 2. Avoid fiber from plant sources as it can be too coarse to digest properly. 3. A low-fat diet will decrease the development of diarrhea and inflammation. 4. Eliminate fruits, whole grains, and legumes from your diet.

ErinKing · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

A, D
Feedback:
Residents at risk of malnutrition or with poor intakes may be given oral supplements to boost overall calorie and protein intake. Although they may be useful, these supplements may not be well accepted or tolerated on a long-term basis. Taste fatigue and lack of hunger for the meal that follows may occur.

Answer to Question 2

1
Rationale: The goal of nutritional therapy to prevent diverticulosis is the intake of adequate fiber to prevent symptoms. Fruits and vegetables are good sources of dietary fiber. A low-fat diet may contribute to control of diarrhea but does not impact the diverticula. Whole grains and legumes are an additional source of dietary fiber.