A nurse is planning care for a client who has malnutrition due to cancer. Which of the following interventions should the nurse include in the plan of care? (Select all that apply.)
Encourage mouth care before and after meals.
Monitor the client for changes in mental status.
Assess the client's laboratory work for increased calcium levels.
Advise the client to keep a food diary.
Instruct the client to drink extra fluids between meals.
Correct Answer : A,B,D,E
A. Encouraging mouth care before and after meals helps maintain oral hygiene, which is essential for appetite stimulation and preventing oral infections.
B. Monitoring the client for changes in mental status is important as malnutrition can lead to cognitive impairment and changes in mental status.
C. Assessing the client's laboratory work for increased calcium levels may not be directly related to malnutrition due to cancer. Elevated calcium levels are more commonly associated with conditions like hyperparathyroidism or certain cancers, but it's not typically a direct consequence of malnutrition.
D. Advising the client to keep a food diary helps track food intake, identify any patterns related to malnutrition, and guide dietary interventions.
E. Instructing the client to drink extra fluids between meals helps prevent dehydration, especially if the client's intake is compromised due to malnutrition or cancer-related treatments.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. People mistakenly think they are experiencing seasonal allergies: While seasonal allergies may share some symptoms with the common cold, such as nasal congestion and sneezing, they are caused by allergens rather than viruses. This factor does not directly contribute to the high communicability of the common cold.
B. The virus is spread by individuals who don't have symptoms: The common cold is highly communicable because individuals infected with the virus can spread it to others even before they develop symptoms or when they have mild symptoms. This makes it challenging to prevent the spread of the virus, as infected individuals may not realize they are contagious.
C. Hand washing is not effective against the cold virus: Hand washing is an effective measure for preventing the spread of the common cold virus. Proper hand hygiene can help reduce the transmission of the virus from contaminated surfaces to the nose and mouth.
D. Use of over-the-counter cold products reduces immune resistance: Over-the-counter cold products may help relieve symptoms of the common cold but do not directly affect immune resistance. However, reliance on symptomatic relief without taking precautions to prevent the spread of the virus can contribute to its communicability.
Correct Answer is ["B","C","E"]
Explanation
A. Lime: Lime can cause chemical burns, especially when in contact with moisture (e.g., skin or eyes), but it is less common than some other agents listed.
B. Hydrofluric acid: Hydrofluoric acid is highly corrosive and can cause severe burns upon contact with the skin or mucous membranes.
C. Bleach: Bleach, particularly sodium hypochlorite, is a common household chemical that can cause chemical burns, especially in concentrated forms.
D. Fabric softener: While fabric softeners contain chemicals, they are not typically known to cause significant chemical burns unless ingested or used improperly.
E. Gasoline: Gasoline is a flammable liquid that can cause chemical burns upon skin contact.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.