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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) "This is a cephalhematoma, which can occur spontaneously":
This is the correct response. A cephalhematoma is a collection of blood between the skull bone and its periosteum and does not cross suture lines. It often develops after vacuum extraction during delivery due to rupture of blood vessels. It is typically benign and resolves on its own over several weeks to months as the blood is reabsorbed by the body. It is important to reassure the mother that this is a common occurrence and usually resolves without intervention.
B) "Mongolian spots can be found on the skin of many newborns":
Mongolian spots are blue-gray birthmarks that commonly appear on the skin of newborns, typically over the buttocks and lower back. They are not related to the swelling on the baby's head and do not cross suture lines.
C) "This is erythema toxicum, which is a transient condition":
Erythema toxicum is a benign rash that appears in many newborns within the first few days of life. It presents as small, yellow or white papules surrounded by erythema and often resolves without treatment within a week. It is not related to the swelling on the baby's head and does not cross suture lines.
D) "A caput succedaneum occurs due to compression of blood vessels and will cross the sutures lines on the baby's head":
While a caput succedaneum is a collection of serosanguinous fluid that crosses suture lines and typically resolves within a few days after birth, it is usually associated with swelling over the presenting part of the fetus during labor, not vacuum extraction. Additionally, caput succedaneum is not typically located on the top of the head, where the swelling from a cephalhematoma would be observed.
Correct Answer is B
Explanation
A) "You should limit carbohydrate intak” to 30 grams per day": While“reducing carbohydrate intake can be part of a weight man”gement plan, setting a specific limit of 30 grams per day may not be appropriate or sustainable for everyone. Carbohydrates are an essential macronutrient and provide energy for the body, especially for individuals with higher energy needs. Additionally, focusing solely on carbohydrate restriction may overlook other important aspects of a balanced diet.
B) "You should consume 500 fewer calories per day": This instruction“aligns with the principles of weight manageme”t for individuals with a BMI of 35, which falls within the obese category. A reduction of 500 calories per day is often recommended for gradual and sustainable weight loss. This approach typically results in a weight loss of about 1 pound per week, which is considered safe and achievable for many individuals.
C) "You should follow a liquid meal plan for 4 weeks": While liquid “eal plans can be effective for some individuals as part of a structured weight loss proecommendey are not universally recommended or suitable for everyone. Liquid diets should be supervised by healthcare professionals and tailored to individual needs and preferences. Additionally, following a liquid meal plan for an extended period may not provide the necessary variety of nutrients found in solid foods.
D) "You should consume high-calorie foods early in the day": While m“al timing can impact metabolism and energy levels, the”e is no evidence to suggest that consuming high-calorie foods specifically early in the day is beneficial for weight management. Instead, focusing on balanced meals and snacks throughout the day, with attention to portion sizes and nutrient density, is generally recommended for promoting satiety and supporting weight loss efforts.
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