A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following interventions is appropriate for the nurse to take?

Avoid serving sauces or gravies.

Discourage the use of a straw.

Serve the client hot meals.

Offer the client frozen bananas as a snack.

Answer and Explanation

Correct Answer : A,B,D

A) Remove the bedpan from the client's sight: This action helps create a more pleasant and comfortable environment for the client during meals, which can enhance their appetite and willingness to eat. Removing unpleasant stimuli, such as a bedpan, from sight can help improve the overall dining experience for the client.

B) Provide mouth care before feeding: Proper oral hygiene is essential for maintaining the client's oral health and can help stimulate their appetite. Mouth care before feeding removes food particles and bacteria, improving the client's ability to taste and enjoy food. It also helps prevent infections and discomfort associated with poor oral hygiene, promoting better overall nutrition.

C) Assess for pain prior to mealtime: While assessing for pain is crucial for overall client care, it is not directly related to implementing a nutrition plan for a client at risk for malnutrition. However, pain assessment is important for identifying any discomfort that could interfere with the client's ability to eat and should be addressed promptly.

D) Administer antiemetics following the meal: Administering antiemetics following meals may be necessary for clients who experience nausea or vomiting during or after eating. Antiemetics can help manage these symptoms, allowing the client to retain food and improve their nutritional intake. However, the decision to administer antiemetics should be based on individual assessment and prescription by a healthcare provider.

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Correct Answer is A

Explanation

A) "You should drink a glass of milk with breakfast": Including milk with breakfast provides a good source of calcium, which is important for adolescent bone health. It also contributes to meeting daily calcium requirements, supporting overall growth and development during this critical period.

B) "Limit the number of fast-food meals to five each week": While reducing the frequency of fast-food consumption is generally advisable due to its high calorie, fat, and sodium content, setting a specific limit of five fast-food meals per week may not be appropriate for all individuals. Dietary recommendations should consider individual factors such as activity level, overall diet quality, and nutritional needs.

C) "Your total intake for the day should not exceed 1,000 calories": This statement is overly restrictive and does not account for variations in energy needs among adolescents, which are influenced by factors such as age, sex, growth stage, and physical activity level. It's essential to provide individualized guidance on calorie intake based on these factors to support healthy growth and development.

D) "Most of your dietary intake should come from protein": While protein is essential for growth, tissue repair, and hormone production, it should not comprise the majority of dietary intake. Adolescents have increased energy and nutrient needs to support growth and development, including carbohydrates and healthy fats, in addition to protein.

A. "I'll make sure his diaper is loose in the front." B. "I'll apply petroleum jelly to his penis with diaper changes." C. "I'll expect the plastic ring to fall off by itself within a week." D. "I'll call the doctor if I see any bleeding." E. "I'll wash his penis with warm water and mild soap each day."

Correct Answer is ["A","C","D"]

Explanation

A) "I'll make sure his diaper is loose in the front":

This statement indicates understanding because ensuring a loose diaper helps prevent irritation and discomfort to the healing circumcision site. Tight diapers can rub against the area and cause irritation or disrupt the healing process.

B) "I'll apply petroleum jelly to his penis with diaper changes":

While applying petroleum jelly to the penis with diaper changes is a common practice for circumcision care, it is not recommended for the Plastibell technique. Using petroleum jelly can interfere with the plastic ring and may prevent it from falling off naturally.

C) "I'll expect the plastic ring to fall off by itself within a week":

This statement indicates understanding because with the Plastibell technique, the plastic ring is left in place until it falls off on its own, typically within a week after the procedure. It is essential for the client to be aware of this expected outcome.

D) "I'll call the doctor if I see any bleeding":

This statement indicates understanding because it shows recognition of the potential complication of bleeding post-circumcision. While some minor bleeding may occur initially, excessive bleeding should be reported to the doctor promptly for further evaluation and management.

E) "I'll wash his penis with warm water and mild soap each day":

While keeping the area clean with warm water and mild soap is generally recommended for circumcision care, with the Plastibell technique, it is typically advised to avoid washing the area directly until the plastic ring falls off. Direct washing may interfere with the healing process or disrupt the plastic ring. Therefore, this statement does not indicate understanding of circumcision care with the Plastibell technique.

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A nurse is caring for a client who has stomatitis following radiation therapy. Which of the following interventions is appropriate for the nurse to take?

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Naxlex Comprehensive Predictor Exams

A school nurse is providing dietary teaching to a group of adolescent students. Which of the following information should the nurse include?

Correct Answer is A

Explanation

A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with the Plastibell technique. Which of the following client statements indicates understanding of circumcision care? (Select all that apply.)

Correct Answer is ["A","C","D"]

Explanation

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