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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Providing the client with three large meals per day may contribute to fluid retention and exacerbate heart failure symptoms. Smaller, more frequent meals may be better tolerated.
B. Weighing the client once per week is not appropriate when there are signs of fluid retention and weight gain in a client with heart failure. More frequent monitoring of weight is necessary in this situation.
C. Reducing the client's sodium intake can help decrease fluid retention and manage symptoms of heart failure. Excess sodium intake can lead to fluid retention and exacerbate heart failure symptoms.
D. Restricting the client's protein intake is not indicated based solely on weight gain in heart failure. Protein restriction may lead to muscle wasting and compromise overall nutritional status.

A. “A low-protein diet should be followed for 3 months prior to conception." B. "Breastfeeding will prevent your baby from developing PKU." C. "Serum bilirubin should be monitored one to two times per month during pregnancy." D. "Diet sodas should not be consumed more than two or three times per week."

Correct Answer is A

Explanation

A. For individuals with PKU who are planning a pregnancy, it is recommended to follow a low- protein diet prior to conception to minimize the risk of maternal phenylalanine levels causing harm to the developing fetus.

B. Breastfeeding does not prevent a baby from developing PKU. Babies born to mothers with PKU need special formula to avoid the harmful effects of high levels of phenylalanine in breast milk.
C. Monitoring serum bilirubin levels is not specific to PKU management during pregnancy.

D. Consumption of diet sodas is not directly related to PKU management during pregnancy.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has heart failure and has gained 0.9 kg (2 lb) over the last 24 hr. Which of the following interventions should the nurse take?

Correct Answer is C

Explanation

A nurse is providing anticipatory guidance to a client who has phenylketonuria (PKU) and is planning a pregnancy. Which of the following information should the nurse include in the discussion?

Correct Answer is A

Explanation

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