A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?
Encourage the client to eat even if nauseated.
Provide low-fat carbohydrates with meals.
Serve hot foods at mealtime.
Limit fluid intake between meals.
The Correct Answer is B
Answer: B. Provide low-fat carbohydrates with meals.
Rationale:
A) Encourage the client to eat even if nauseated: Forcing the client to eat while experiencing nausea may worsen symptoms and increase the risk of vomiting. It is more effective to recommend small, tolerable meals with specific types of food to help reduce nausea.
B) Provide low-fat carbohydrates with meals: Low-fat carbohydrates, such as crackers or toast, are easier to digest and less likely to trigger nausea. They can help stabilize the stomach and minimize nausea symptoms, making this strategy the most appropriate recommendation.
C) Serve hot foods at mealtime: Hot foods may produce strong odors that could exacerbate nausea. Instead, cool or room-temperature foods are often better tolerated by clients experiencing nausea.
D) Limit fluid intake between meals: While limiting fluids during meals can sometimes reduce bloating, hydration remains critical for clients with nausea. Recommending sips of fluids throughout the day is a better approach than restricting fluids between meals.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Breastfeeding alone cannot prevent a baby from developing phenylketonuria (PKU). PKU is an inherited metabolic disorder characterized by the body's inability to process phenylalanine, an amino acid found in protein. Infants with PKU must follow a special low-phenylalanine diet from birth to prevent intellectual disability and other complications. Breast milk contains phenylalanine, so infants with PKU require a special formula that is low in phenylalanine.
B) The consumption of diet sodas is not directly related to the management of phenylketonuria (PKU). Clients with PKU must closely monitor their intake of phenylalanine, an amino acid found in protein-containing foods. Diet sodas typically do not contain protein or phenylalanine, so their consumption is not a primary concern for individuals with PKU.
C) Monitoring serum bilirubin levels is not specific to the management of phenylketonuria (PKU) during pregnancy. Serum bilirubin levels are typically monitored to assess liver function and screen for conditions such as jaundice. While individuals with PKU may require additional monitoring during pregnancy, such as monitoring phenylalanine levels, serum bilirubin levels are not typically a focus of PKU management.
D) Following a low-protein diet for several months prior to conception is an important aspect of managing phenylketonuria (PKU) during pregnancy. High levels of phenylalanine in the mother's blood can cross the placenta and harm the developing fetus, potentially leading to intellectual disability and other complications. By adhering to a low-protein diet before conception, individuals with PKU can lower their phenylalanine levels and reduce the risk of complications during pregnancy.
Correct Answer is D
Explanation
A) 2+ deep tendon reflexes: Deep tendon reflexes are graded on a scale from 0 to 4+, with 2+ indicating normal reflexes. While normal deep tendon reflexes are a positive finding, they do not specifically indicate the effectiveness of treatment for hypernatremia.
B) Urine output 25 mL/hr: Adequate urine output is important for renal function and fluid balance; however, a urine output of 25 mL/hr may be insufficient depending on the client's fluid status and the extent of hypernatremia. This finding alone does not confirm the effectiveness of treatment for hypernatremia.
C) Fatigue: Fatigue is a nonspecific symptom and may not directly reflect the effectiveness of treatment for hypernatremia. While addressing hypernatremia may improve overall well-being and energy levels, fatigue alone is not a definitive indicator of treatment effectiveness.
D) Firm grip bilaterally: This finding indicates normal muscle strength and neuromuscular function, which can be affected by hypernatremia. In hypernatremia, high sodium levels in the blood can lead to neurologic symptoms such as muscle weakness or altered mental status. A firm grip bilaterally suggests that the client's neuromuscular function has returned to baseline, indicating the effectiveness of treatment in correcting the electrolyte imbalance.
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