Author Question: An older patient is experiencing significant weight loss and has poorly fitting dentures that cause ... (Read 65 times)

jhjkgdfhk · **on:** Jun 25, 2018

An older patient is experiencing significant weight loss and has poorly fitting dentures that cause severe oral sores. When preparing the plan of care, which intervention will be most beneficial to the patient?

1. providing analgesics as needed
2. evaluating the need for assistive devices
3. serving meals in an attractive environment
4. offering assistance to eat

Question 2

A patient who had stomach cancer surgery 2 years ago comes to the clinic fearful that the cancer must be back because I'm so tired all the time. The nurse realizes that this patient is likely experiencing which health problem?

1. vitamin deficiency
2. a return of the stomach cancer
3. metastasis
4. ineffective coping

Qarqy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1
The patient with oral ulcerations is uncomfortable. Eating will be difficult if pain is not managed. There is no indication the patient is unable to eat without help or is in need of assistive devices. An attractive environment is beneficial for all patients but is not the greatest physiological priority for this patient.

Answer to Question 2

Correct Answer: 1
The cells of the stomach produce intrinsic factor, which is required for the absorption of vitamin B12. Vitamin B12 deficiency leads to pernicious anemia. Because of hepatic stores of vitamin B12, symptoms of anemia may not be seen for 1 to 2 years after surgery. There are no clinical manifestations presented to support the recurrence or metastasis of the cancer. The patient is seeking clarification of the condition, not demonstrating an inability to cope.