A nurse is caring for a client who is receiving chemotherapy treatments. The client states, "I feel so nauseated after my treatments." Which of the following instructions should the nurse provide the client? (Select all that apply.)
Sip fluids slowly throughout the day.
Sit up for 1 hr after eating meals.
Consume foods that are served cold.
Eat foods low in carbohydrates.
Limit use of antiemetics until after first emesis.
Correct Answer : A,B,C
A. Sipping fluids slowly can help prevent dehydration and may help alleviate nausea.
B. Sitting up for 1 hour after eating meals can help prevent reflux and reduce the likelihood of nausea.
C. Cold foods may be better tolerated by individuals experiencing nausea.
D. There is no specific evidence to suggest that eating foods low in carbohydrates helps with chemotherapy-induced nausea.
E. Antiemetics should be taken as prescribed, and delaying their use until after experiencing vomiting may lead to inadequate control of nausea and vomiting. It's important for the client to follow the healthcare provider's instructions regarding the use of antiemetics.
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Related Questions
Correct Answer is ["B","E"]
Explanation
A. Removing the bedpan from the client's sight is not directly related to addressing malnutrition risk.
B. Assessing for pain prior to mealtime is important because pain can interfere with appetite and eating, contributing to malnutrition.
C. Administering antiemetics following the meal may address nausea or vomiting, but it does not address the underlying factors contributing to malnutrition.
D. Discouraging snacks between meals may not be appropriate for all clients at risk for malnutrition, especially if they have poor oral intake during meals. Snacks may be necessary to provide additional nutrition and calories.
E. Providing mouth care before feeding helps improve oral hygiene, which can enhance the client's appetite and ability to eat.
Correct Answer is D
Explanation
A. TPN typically contains glucose as a source of energy. While it can help maintain glucose levels, this is not the primary reason for its use in clients with acute kidney injury.
B. TPN is not primarily used to address excessive calorie burning. It is used when a client is unable to meet their nutritional needs orally or enterally.
C. While TPN may have varying proportions of macronutrients depending on the individual's nutritional needs, the primary reason for its use in acute kidney injury is to provide nutrition when the gastrointestinal tract cannot be used.
D. TPN bypasses the gastrointestinal tract, delivering nutrients directly into the bloodstream.
This is necessary in acute kidney injury when the client may not be able to tolerate enteral feeding or when there are specific dietary restrictions.
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