Which assessment question should the nurse ask to best understand ...

[roselinechinyere27m]

Which assessment question should the nurse ask to best understand how visual alterations are affecting the patient's self-care ability?
 
  a. Have you stopped reading books or switched to books on audiotape?
  b. What do you do to protect yourself from injury at work?
  c. Are you able to prepare a meal or write a check?
  d. How does your vision impairment make you feel?

Question 2

A new nurse is caring for a patient who is undergoing chemotherapy for cancer. The patient is becoming malnourished because nothing tastes good. Which recommendation by the nurse will be most appropriate for this patient?
 
  a. Rinse your mouth several times a day to hydrate your taste buds.
  b. Avoid adding spices or lemon juice to food to prevent nausea.
  c. Blend foods together in interesting flavor combinations.
  d. Eat soft foods that are easy to chew and swallow.

[sultansheikh]

Answer to Question 1

ANS: C
To best understand how vision is affecting self-care ability, the nurse wants to target questions to encompass what self-care tasks the patient has difficulty doing, such as preparing meals and writing checks. Switching to books on audiotape gives the nurse an idea of the severity of the deficit but not its impact on activities of daily living. Assessing whether the patient is taking measures for protection is important, but this does not address self-care activities. Emotional assessment of a patient is also important but does not properly address the goal of determining the effect of visual alterations on self-care ability.

Answer to Question 2

ANS: A
Good oral hygiene keeps the taste buds well hydrated. Having an unpleasant taste in the mouth discourages the patient from eating. Well-seasoned, differently textured food eaten separately heightens taste perception. Avoid blending foods together because this makes it difficult to identify tastes. Texturized, spicy, and aromatic foods stimulate and make eating more enjoyable. Flavored vinegar or lemon juice adds tartness to food.

[roselinechinyere27m]

TYSM

[aliotak]

Excellent