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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1680"]
Explanation
We'll use milliliters (mL) as the standard unit. There are approximately 30 mL in 1 ounce.
The client's intake from the coffee, beef broth, gelatin, and water is 8 oz + 8 oz + 6 oz + 24 oz, which equals 46 oz.
Converting ounces to milliliters, we get: 46 oz * 30 mL/oz = 1380 mL.
Adding the IV fluids, the total intake is 300 mL + 1380 mL = 1680 mL. The client's total intake is 1680 mL.
Correct Answer is A
Explanation
A. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, which can lead to symptoms such as increased thirst. Notifying the provider of increased thirst can help monitor for potential electrolyte imbalances.
B. Consuming foods high in potassium can exacerbate hyperkalemia, which is a potential side effect of spironolactone. Clients prescribed spironolactone are typically advised to avoid potassium-rich foods.
C. Using a salt substitute to season foods can increase sodium intake, which may counteract the effects of spironolactone and increase the risk of fluid retention and hypertension.
D. Taking spironolactone at bedtime is not typically recommended. It is usually taken in the morning to avoid disrupting sleep due to increased urination.
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