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 FACES scale is typically used with older children who can express their pain using facial expressions.
B. The Oucher scale is a self-report scale that relies on the child's ability to match their pain level to a set of standardized photographs.
C. The Visual Analog Scale is used with older children and adults but is not appropriate for infants.
D. The FLACC scale (Face, Legs, Activity, Cry, Consolability) is specifically designed for infants and nonverbal children, taking into account their facial expressions, leg movement, activity level, cry, and consolability.

A. Vomiting Hypoglycemia B. Hypertension C. Altered mental status D. Elevated WBC’s count

Correct Answer is C

Explanation

A. Vomiting is not a specific manifestation of sepsis.
B. Hypertension is not a typical finding in sepsis; hypotension is more common.
C. Altered mental status, such as confusion or lethargy, can be a sign of sepsis- induced organ dysfunction.
D. While an elevated white blood cell (WBC) count is often seen in infection, it alone does not indicate sepsis. The key in sepsis is the body's dysregulated response to infection leading to organ dysfunction.

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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.)

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Correct Answer is C

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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.)