Basic Care and Comfort Practice Question

Question

The nurse is caring for a client needing feeding assistance and is focused on nutrition assistance scenario 9. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Delegate the clinical assessment and nursing judgment to assistive personnel.
3. C. Match feeding support to swallowing ability, diet order, and client tolerance.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

C. Match feeding support to swallowing ability, diet order, and client tolerance.

Explanation

The priority action for nutrition assistance is to match feeding support to swallowing ability, diet order, and client tolerance. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: medium
• Domain: Basic Care and Comfort
• Objective: nutrition assistance

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