A nurse is contributing to the plan of care for a client who has leukemia and is experiencing chronic fatigue.
Which of the following interventions should the nurse plan to include?
Increase protein in the diet.
Increase the client's fluids to 4 L per day.
Encourage the client to have continual bed rest.
Encourage strength-training exercise.
The Correct Answer is D
Explanation:
Chronic fatigue is a common symptom experienced by clients with leukemia due to various factors, including the disease process, treatment side effects, and anemia. Encouraging strength- training exercises can be beneficial in managing fatigue in these clients. Engaging in regular physical activity, especially strength-training exercises, has been shown to improve muscle strength, endurance, and overall energy levels.
Strength-training exercises help build muscle mass and improve cardiovascular fitness, which can combat fatigue and enhance the client's ability to perform activities of daily living. However, it is essential to individualize the exercise plan based on the client's current physical abilities and energy levels. The nurse should work closely with the client and, if available, a physical therapist or exercise specialist to develop a safe and appropriate exercise program.
Let's briefly discuss the other options:
A- Increase protein in the diet: While a balanced diet that includes an adequate amount of protein is essential for overall health, increasing protein alone may not directly address the issue of chronic fatigue in leukemia clients. While adequate nutrition is important, simply increasing protein intake is not the most effective intervention for managing fatigue in this context.
B- Increase the client's fluids to 4 L per day: Adequate hydration is essential for overall health, but there is no evidence to suggest that increasing fluids alone will directly alleviate chronic fatigue in leukemia clients. The nurse should encourage adequate hydration based on the client's individual needs but should also consider other interventions to address fatigue.
C- Encourage the client to have continual bed rest: Although rest and sleep are important for individuals with leukemia to manage fatigue, promoting continual bed rest can lead to deconditioning and further exacerbate fatigue. Encouraging a balance between rest and physical activity is crucial to managing fatigue effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Promoting trust involves actions that build a sense of trust and rapport between the nurse and the client. In this scenario, the nurse recognizes the client's basic need for food and responds to it promptly and compassionately. By interrupting the bath to address the client's hunger, the nurse demonstrates attentiveness and care, which helps establish trust between the nurse and the client.
Countertransference refers to the nurse's emotional reaction or response to the client, which may be based on the nurse's personal experiences or unresolved issues. It does not apply to the nurse's action of obtaining a meal for the client.
Veracity refers to truthfulness and honesty. While the nurse's action can be seen as honest and caring, it does not specifically relate to the concept of veracity.
Boundary crossing refers to a situation where the nurse exceeds the established professional boundaries with the client. In this scenario, the nurse's action of obtaining a meal for the client can be seen as a minor deviation from the routine care but is not considered a significant boundary crossing.
Correct Answer is C
Explanation
Explanation:
When a charge nurse observes the smell of alcohol on a nurse's breath, it raises concerns about their ability to provide safe and competent care to clients. Patient safety is of utmost importance, and the charge nurse must take immediate action to address the situation.
Removing the nurse from the client care area ensures that the nurse is not involved in direct patient care while their ability to provide safe care is in question. This step helps mitigate potential risks to patient safety.
B and D- After removing the nurse from the client care area, further actions can be taken, such as documenting the objective findings about the situation and informing the supervisor. However, the immediate priority is to ensure patient safety by removing the nurse from the care area.
A- Assigning clients to the remaining staff can be done once the situation has been addressed and a suitable replacement for the nurse has been arranged.
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