A nurse is developing a plan of care for a client who has radiation-induced diarrhea and nausea. Which of the following interventions should the nurse include in the plan?
Provide a snack 30 min before treatments
Ensure foods are served hot
Administer antiemetics on a schedule
Serve low carbohydrate meals
The Correct Answer is C
Choice A reason: Providing a snack 30 min before treatments can worsen nausea and diarrhea, as food can stimulate gastric motility and secretion. It is better to avoid eating for at least 2 hours before and after treatments.
Choice B reason: Ensuring foods are served hot can increase nausea and diarrhea, as hot foods can have strong smells and irritate the digestive tract. It is better to serve foods at room temperature or cold.
Choice C reason: Administering antiemetics on a schedule can prevent nausea and vomiting, which can lead to dehydration and electrolyte imbalance. Antiemetics can also reduce abdominal cramps and spasms that cause diarrhea.
Choice D reason: Serving low carbohydrate meals can aggravate diarrhea, as carbohydrates are the main source of energy for the body. It is better to serve high carbohydrate meals that are easy to digest, such as rice, potatoes, bread, or crackers.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Alternating the first breast that is offered to the baby with each feeding can help ensure equal stimulation and drainage of both breasts, and prevent engorgement, mastitis, or milk supply problems.
Choice B reason: Storing breastmilk in the refrigerator up to 48 hours is not recommended, as it can reduce the quality and quantity of antibodies and nutrients in the milk. The optimal storage time for breastmilk in the refrigerator is up to 24 hours.
Choice C reason: Nursing the baby once every 4 hours is not sufficient, as it can lead to insufficient milk intake, dehydration, weight loss, or jaundice in the baby. The baby should be nursed on demand, or at least every 2 to 3 hours during the day and every 4 hours at night.
Choice D reason: Offering the baby water between feedings is not necessary, as it can interfere with breastfeeding and cause water intoxication or electrolyte imbalance in the baby. Breastmilk provides enough hydration and nutrition for the baby.
Correct Answer is D
Explanation
Choice A reason: A pump is usually needed to administer intermittent tube feedings, as it can control the flow rate and volume of the formula. A pump can also prevent overfeeding, aspiration, or diarrhea.
Choice B reason: Administering feedings over 10 to 20 minutes is too fast, as it can cause abdominal cramps, nausea, vomiting, or dumping syndrome. Intermittent tube feedings should be administered over 30 to 60 minutes.
Choice C reason: Administering feedings while sleeping at night is not recommended, as it can increase the risk of aspiration, reflux, or infection. Intermittent tube feedings should be administered during waking hours and with the head of the bed elevated at least 30 degrees.
Choice D reason: Advancing the rate of feedings slowly is advisable, as it can help the body adjust to the formula and prevent intolerance or complications. The rate should be increased gradually until the desired goal is reached.
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