Questions: Examplify WK WE6226 CLE Fundamentals Open Check 2451 - GLORY SIMON (341197739) TIME REMAINING: 00:39 Question 23 A client with osteoarthritis has only been eating 10% of each breakfast since admission four days ago because of pain and stiffness in the joints of the wrist and fingers. The client is independent and has not accepted help from the unlicensed assistive personnel (UAP). Today the UAP reports that the client has self-fed and eaten 95% of breakfast. What action by members of the care team may have accounted for the improved meal intake? Answers: A - D A. The nurse gave pain medication to the client 30 minutes before breakfast B. The client decided to put more effort into trying to use the hands in the morning C. The UAP assisted the client to take a cold shower early in the morning D. The dietitian counseled the client on the poor intake of breakfast

The answer is A: The nurse gave pain medication to the client 30 minutes before breakfast.

Explanation for each option:

A. The nurse gave pain medication to the client 30 minutes before breakfast.

• This is the most likely reason for the improved meal intake. Pain and stiffness in the joints can significantly hinder a person's ability to feed themselves. Administering pain medication before meals can reduce discomfort, making it easier for the client to use their hands and fingers to eat. This aligns with the observed improvement in the client's ability to self-feed and consume a larger portion of their breakfast.

B. The client decided to put more effort into trying to use the hands in the morning.

• While it is possible that the client decided to put more effort into using their hands, it is less likely to account for such a significant improvement in meal intake. Pain and stiffness from osteoarthritis can be quite debilitating, and without some form of intervention (like pain medication), it is unlikely that mere effort would result in a 95% meal intake.

C. The UAP assisted the client to take a cold shower early in the morning.

• Cold showers are generally not recommended for managing osteoarthritis pain, as cold can increase stiffness in the joints. Warm showers or heat therapy are more commonly used to alleviate stiffness and pain. Therefore, it is unlikely that a cold shower would have contributed to the improved meal intake.

D. The dietitian counseled the client on the poor intake of breakfast.

• While counseling from a dietitian can be beneficial in encouraging better eating habits, it is unlikely to have an immediate impact on the client's ability to self-feed, especially if the primary issue is pain and stiffness in the joints. The significant improvement in meal intake suggests a more direct intervention, such as pain management.

In summary, the administration of pain medication before breakfast is the most plausible explanation for the client's improved ability to self-feed and increased meal intake.