A nurse is caring for a client who has AIDS and is experiencing wasting syndrome. Which of the following actions should the nurse take to prevent malnutrition?
Suggest the client avoid snacking during the day.
Encourage the client to rest before eating meals.
Instruct the client to consume 1 L of fluid daily.
Tell the client to increase the saturated fat content of each meal.
The Correct Answer is B
A) "Suggest the client avoid snacking during the day.": Snacking can help maintain caloric intake and prevent malnutrition. It is generally beneficial for clients with wasting syndrome to have frequent, small meals and snacks throughout the day to increase overall caloric and nutrient intake.
B) "Encourage the client to rest before eating meals.": Resting before meals can help conserve energy, making it easier for clients with wasting syndrome to eat larger portions and improve their nutritional intake. Fatigue can significantly reduce appetite and meal consumption, so conserving energy for eating is a practical strategy.
C) "Instruct the client to consume 1 L of fluid daily.": Proper hydration is important, but 1 liter may be insufficient for overall hydration needs. Clients with AIDS and wasting syndrome should be encouraged to maintain adequate fluid intake to support overall health and aid in digestion, which typically requires more than 1 liter per day.
D) "Tell the client to increase the saturated fat content of each meal.": Increasing saturated fat content is not advisable as it can lead to other health complications such as cardiovascular disease. Instead, a balanced diet with healthy fats, proteins, and carbohydrates is more appropriate to address malnutrition in clients with wasting syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Aspirin can be given to decrease the fever caused by varicella: Aspirin should not be used in children with varicella (chickenpox) due to the risk of Reye’s syndrome, a rare but serious condition that can cause liver and brain damage. Instead, acetaminophen or ibuprofen is recommended for fever management in these cases.
B) Maintaining a warm environment decreases the eruption of lesions: Maintaining a warm environment does not affect the eruption of varicella lesions and could potentially exacerbate discomfort. A cool environment and loose, comfortable clothing are preferred to help alleviate itching and discomfort.
C) Varicella has an incubation period of 1 to 3 days: The incubation period for varicella is typically 10 to 21 days after exposure. The shorter period of 1 to 3 days is not accurate for varicella and does not reflect the standard incubation period of this disease.
D) An antihistamine can be administered to decrease pruritus: Antihistamines are effective in managing itching (pruritus) associated with varicella lesions. They can help provide relief from the discomfort caused by the rash, making this an appropriate intervention.
Correct Answer is B
Explanation
A) Maintain the client on bed rest for 48 hr following surgery: While some bed rest is recommended initially post-surgery, maintaining bed rest for 48 hours is excessive and can increase the risk of complications like deep vein thrombosis. Early mobilization is generally encouraged to enhance recovery.
B) Check the tubing for kinks and blood clots at least every 2 hr: Regularly checking the catheter tubing for kinks and blood clots is essential to ensure the continuous flow of urine and prevent catheter blockage. This can help in reducing the risk of complications such as bladder distension and urinary retention.
C) Irrigate the client's bladder continuously using 5% dextrose in Ringer's lactate: Continuous bladder irrigation is often done post-TURP to prevent clot formation, but 5% dextrose in Ringer's lactate is not the recommended solution. Typically, normal saline is used to minimize the risk of electrolyte imbalance and maintain the correct osmolarity.
D) Remove the catheter if the client reports severe bladder spasms: Severe bladder spasms can occur post-TURP, but removing the catheter is not the immediate solution. The catheter is necessary for drainage and should be managed with antispasmodic medications or adjusting the irrigation flow rather than removal.
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