NCLEX-PN® ExaminationBasic Care and ComfortMedium
A licensed practical nurse (LPN) is assisting a client with advanced Parkinson's disease with feeding. The client exhibits severe tremors and difficulty coordinating movements. Which intervention should the LPN prioritize to promote safe and independent nutrition?
- AOffer a straw for all liquids to prevent aspiration.
- BEncourage the client to eat quickly to minimize the duration of tremors.
- CRequest a pureed diet for all meals to simplify consumption.
- DProvide adaptive utensils with weighted handles and non-slip mats.
Show answer & explanationAnswer & explanation
Correct answer: D. Provide adaptive utensils with weighted handles and non-slip mats.
Adaptive utensils with weighted handles can help stabilize the client's hand during tremors, making self-feeding safer and promoting independence. Non-slip mats prevent dishes from sliding, further assisting the client.
Why the other options are wrong
- A. While straws can be helpful for some, they can increase the risk of aspiration for clients with swallowing difficulties and are not a universal solution for all liquids.
- B. Eating quickly can increase the risk of aspiration and does not address the underlying tremor.
- C. A pureed diet may be necessary for severe dysphagia, but it should not be the first intervention for tremors, as it limits food choices and client autonomy unnecessarily.
Adaptive Aids for Tremors
Specialized tools and equipment designed to compensate for motor impairments like tremors, facilitating daily activities such as eating.
- Weighted utensils help stabilize hands.
- Non-slip mats prevent dishes from moving.
- Promote independence and reduce aspiration risk.
Memory trick: Weighted utensils make feeding less daunting, steadying the hand's uncertain motion.