A nurse admits an older client to the hospital who lives at home ...

[stephzh]

A nurse admits an older client to the hospital who lives at home with family. The nurse assesses that the client is malnourished. What actions by the nurse are best? (Select all that apply.)
 
  a. Contact Adult Protective Services or hospital social work.
  b. Notify the provider that the client needs a tube feeding.
  c. Perform and document results of a Braden Scale assessment.
  d. Request a dietary consultation from the health care provider.
  e. Suggest a high-protein oral supplement between meals.

Question 2

A student asks the nurse what is the best way to assess a client's pain. Which response by the nurse is best?
 
  a. Numeric pain scale
  b. Behavioral assessment
  c. Objective observation
  d. Client's self-report

[jaygar71]

Answer to Question 1

ANS: C, D, E
Malnutrition in the older population is multifactorial and has several potential adverse outcomes. Appropriate actions by the nurse include assessing the client's risk for skin breakdown with the Braden Scale, requesting a consultation with a dietitian, and suggesting a high-protein meal supplement. There is no evidence that the client is being abused or needs a feeding tube at this time.

Answer to Question 2

ANS: D
Many ways to measure pain are in use, including numeric pain scales, behavioral assessments, and other objective observations. However, the most accurate way to assess pain is to get a self-report from the client.

[stephzh]

Thank you

[jaygar71]

No problemo