A nurse at a provider’s office is reinforcing teaching with a client who is being treated with chemotherapy and is losing weight. Which of the following instructions should the nurse give to increase the client’s caloric intake? (Select all that apply.)

Use honey on toast.

Use milk instead of water in recipes.

Increase fluids during meals.

Substitute salad dressing for mayonnaise on sandwiches

Top yogurt with granola.

Answer and Explanation

Correct Answer : A,B,D,E

A.   Using honey on toast adds calories and sweetness.
B.   Use milk instead of water in recipes increases the caloric content of the meal.
C.   While important for hydration, it does not directly increase caloric intake.
D.   Mayonnaise has more calories.
E.   Topping yogurt with granola adds calories and texture to increase caloric intake.

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Correct Answer is D

Explanation

A. The use of an incentive spirometer is more relevant for preventing respiratory complications, not related to the client's low WBC count.
B. Negative-pressure airflow rooms are typically used for clients with airborne infections, not those with low WBC counts.
C. Cooked fruits may be advisable to reduce the risk of bacterial contamination in immunosuppressed clients, but it does not directly address the low WBC count.
D. Reporting temperatures greater than 39.5°C (102.3°F) lasting more than 4 hours is crucial as it may indicate an infection, and prompt intervention is needed in immunosuppressed clients.

A. Encourage the client to talk about his feelings regarding his body image. B. Discuss alternative coping strategies to relieve stress he feels about his body image. C. Determine the client’s perception of his body image. D. Assist the client to acknowledge he has a distorted body image.

Correct Answer is C

Explanation

A. Encouraging the client to talk about his feelings is important, but understanding the client's current perception of his body image comes first to guide appropriate interventions.
B. Discussing coping strategies is relevant, but understanding the client's current perception helps tailor coping strategies to his specific concerns.
C. Determining the client's perception of his body image is the first step to assess the extent of the issue and plan interventions accordingly.
D. Assisting the client to acknowledge a distorted body image may be necessary, but understanding the client's current perception precedes interventions.

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A nurse at a provider’s office is reinforcing teaching with a client who is being treated with chemotherapy and is losing weight. Which of the following instructions should the nurse give to increase the client’s caloric intake? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is contributing to the plan of care for an older adult client who has a WBC of 2000/mm3 after three rounds of chemotherapy. Which of the following interventions should the nurse include in the plan?

Correct Answer is D

Explanation

A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

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