Question

Which nursing order related to nutrition should be included in the plan of care for a client with limited vision? a. Assess for presence of the gag reflex b. Orient to type and location of foods and utensils c. Feed in the client's preferred order of eating d. Cut foods, then remove knife from tray

Short answer

Option B: Orient to type and location of foods and utensils.

Step-by-step solution

Read the question carefully

The question asks which nursing order related to nutrition should be included in the plan of care for a client with limited vision. This requires understanding the needs and challenges faced by a client with limited vision, particularly in the context of nutrition.

Analyze each option

Evaluate each of the provided options in the context of how they help a client with limited vision manage their nutritional needs.

Option A - Assess for presence of the gag reflex

Assessing for the presence of a gag reflex ensures the safety of the client during feeding to prevent choking. However, it's not specifically related to the challenges faced due to limited vision.

Option B - Orient to type and location of foods and utensils

Orienting the client to the type and location of foods and utensils helps them independently manage their eating process despite their limited vision. This is a direct response to the challenges posed by their condition.

Option C - Feed in the client's preferred order of eating

Feeding the client in their preferred order of eating is considerate but doesn't specifically address the challenges of limited vision in managing nutrition independently.

Option D - Cut foods, then remove knife from tray

Cutting foods and removing the knife from the tray might prevent potential injury, but it does not directly assist the client in managing their eating process related to their vision.

Determine the most appropriate option

After analyzing all options, it is clear that Option B is the most appropriate. Orienting the client to the type and location of foods and utensils provides crucial assistance tailored to a client with limited vision.

Key concepts

nutrition management

Nutrition management is crucial for visually impaired patients, as they face unique challenges when it comes to feeding and nutrition. Orienting patients to their meals is a key strategy to ensure they can maintain their independence and satisfaction.
As a nurse, your role includes:

• Describing each food item on the plate.
• Using the 'clock' method to help them locate food (e.g., 'your chicken is at 6 o'clock').
• Explaining the utensils and their position on the tray.

By implementing these measures, visually impaired patients can eat independently and enjoy their meals without much assistance. This also boosts their confidence and reduces their dependency on caregivers.

patient orientation

Patient orientation is essential for those with visual impairments. Proper orientation helps patients navigate their food and dining setup, making the feeding process smoother.
Key strategies include:

• Verbally guiding the patient through the layout of their tray.
• Ensuring the dining area is well-organized and clutter-free.
• Using consistent placement of items to create a routine and avoid confusion.

By adopting these practices, you make it easier for patients to find their food and utensils. This not only aids in their nutritional intake but also enhances their overall dining experience, promoting independence and dignity.

independent eating

Encouraging independent eating is vital for visually impaired patients, as it contributes to their autonomy and quality of life. Independence in eating can be fostered through several methods.
Effective techniques include:

• Providing adaptive utensils, like forks and spoons with larger handles for better grip.
• Using textured plates that help keep food in place.
• Offering verbal cues for locating and cutting food if necessary.

Incorporating these tools and techniques allows visually impaired patients to feed themselves with minimal assistance. This not only enhances their self-esteem but also promotes a sense of normalcy and empowerment in their daily activities.