A nurse at a provider’s office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select all that apply)

Add cream to soups.

Dip meats in eggs and bread crumbs before cooking.

Use milk instead of water in recipes.

Top fruits with yogurt.

Increase fluids during meals.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A reason: Add Cream to Soups

Adding cream to soups is an excellent way to increase both calorie and protein intake. Cream is rich in fat and calories, which can help in weight gain and provide the necessary energy for clients undergoing chemotherapy. Additionally, it enhances the flavor and texture of soups, making them more palatable for clients who may have a reduced appetite due to treatment.

Choice B reason: Dip Meats in Eggs and Bread Crumbs Before Cooking

Dipping meats in eggs and bread crumbs before cooking adds extra calories and protein. Eggs are a good source of high-quality protein, and bread crumbs add additional calories. This method also helps to create a more appealing texture and flavor, which can be beneficial for clients experiencing taste changes due to chemotherapy.

Choice C reason: Use Milk Instead of Water in Recipes

Using milk instead of water in recipes is another effective strategy to boost calorie and protein intake. Milk contains essential nutrients, including protein, calcium, and vitamins, which are important for maintaining strength and health during chemotherapy. This substitution can be applied to various recipes, such as oatmeal, mashed potatoes, and smoothies.

Choice D reason: Top Fruits with Yogurt

Topping fruits with yogurt not only increases calorie and protein intake but also adds beneficial probiotics. Yogurt is a good source of protein and calcium, and when combined with fruits, it provides a nutritious and appealing snack or dessert. This combination can help improve appetite and provide essential nutrients needed during chemotherapy.

Choice E reason: Increase Fluids During Meals

Increasing fluids during meals is not specifically aimed at increasing calorie and protein intake. While staying hydrated is important, excessive fluid intake during meals can sometimes lead to a feeling of fullness, which may reduce overall food intake. It is better to focus on nutrient-dense foods and beverages that provide both hydration and essential nutrients.

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Correct Answer is D

Explanation

Choice A reason: Take the Medication with Orange Juice

Taking betamethasone with orange juice is not specifically recommended. While orange juice can help with the taste of some medications, it does not have any particular benefit for betamethasone. Additionally, citrus juices can sometimes interfere with the absorption of certain medications.

Choice B reason: Take the Medication Between Meals

Taking betamethasone between meals is not advised. This medication can cause stomach upset, and taking it on an empty stomach can exacerbate this issue. It is generally recommended to take corticosteroids with food to minimize gastrointestinal discomfort.

Choice C reason: Take the Medication on an Empty Stomach

Taking betamethasone on an empty stomach is not recommended for the same reasons as above. It can lead to stomach irritation and discomfort. Taking the medication with food or milk helps to reduce these side effects.

Choice D reason: Take the Medication with Milk

Taking betamethasone with milk is the correct instruction. Milk can help to buffer the stomach lining and reduce the risk of gastrointestinal irritation, which is a common side effect of corticosteroids. This practice helps to ensure that the medication is tolerated well by the client.

A. Botulism is acquired through direct contact with an infected person. B. Notify the Centers for Disease Control and Prevention (CDC) when more than three cases are confirmed. C. Botulism can produce paralysis within 12 to 72 hours following exposure. D. Vomiting and diarrhea are expected findings following exposure. E. Botulism is a toxin found in castor beans.

Correct Answer is ["C"]

Explanation

Choice A reason: Botulism is Acquired Through Direct Contact with an Infected Person

Botulism is not acquired through direct contact with an infected person. It is caused by a toxin produced by the bacterium Clostridium botulinum. The most common forms of botulism are foodborne, wound, and infant botulism. Foodborne botulism occurs when a person ingests food containing the toxin, while wound botulism occurs when the bacteria infect a wound and produce the toxin. Infant botulism occurs when infants ingest spores of the bacteria, which then grow and produce the toxin in their intestines.

Choice B reason: Notify the Centers for Disease Control and Prevention (CDC) When More Than Three Cases Are Confirmed

While notifying the CDC is crucial in the event of a botulism outbreak, the specific threshold for notification can vary. Generally, any suspected case of botulism should be reported to public health authorities immediately due to the severity of the disease and the potential for outbreaks. The CDC provides guidelines for reporting and managing botulism cases.

Choice C reason: Botulism Can Produce Paralysis Within 12 to 72 Hours Following Exposure

Botulism can indeed produce paralysis within 12 to 72 hours following exposure. The toxin affects the nervous system, leading to muscle paralysis. Early symptoms include weakness, dizziness, and dry mouth, followed by more severe symptoms such as blurred vision, difficulty swallowing, and muscle weakness. If left untreated, botulism can lead to respiratory failure and death.

Choice D reason: Vomiting and Diarrhea Are Expected Findings Following Exposure

Vomiting and diarrhea are not typical symptoms of botulism. The primary symptoms are related to muscle paralysis and neurological impairment. Gastrointestinal symptoms may occur in some cases of foodborne botulism, but they are not the hallmark signs of the disease.

Choice E reason: Botulism is a Toxin Found in Castor Beans

Botulism is not a toxin found in castor beans. The toxin found in castor beans is ricin, which is a different type of bioterrorism agent. Botulism is caused by the botulinum toxin produced by Clostridium botulinum bacteria.

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A nurse at a provider’s office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select all that apply)

Nursing Test Bank

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Correct Answer is D

Explanation

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Correct Answer is ["C"]

Explanation

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