A nurse is providing education to a client with human immunodeficiency virus (HIV) who is experiencing wasting syndrome. Which of these suggestions is most appropriate?

Eat legumes instead of red meat

Consume high-calorie snacks between meals

Use canola oil instead of butter while cooking

Add celery to cooked soups or salads

Answer and Explanation

The Correct Answer is B

A. While legumes are a good source of protein, they do not provide the high-calorie density needed for someone experiencing wasting syndrome.

B. Consuming high-calorie snacks between meals is the most appropriate suggestion as it helps increase overall caloric intake, which is essential for clients with wasting syndrome to help maintain weight and improve nutritional status.

C. Using canola oil instead of butter may not significantly impact caloric intake, and clients with wasting syndrome may need higher-calorie options.

D. Adding celery to soups or salads adds volume but is low in calories and may not contribute significantly to the dietary needs of someone experiencing wasting syndrome.

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Correct Answer is A

Explanation

A. Ensuring the blood is compatible with the client's blood type is critical in preventing an acute hemolytic reaction, as incompatible blood transfusions can cause serious, potentially life-threatening reactions.

B. Administering the transfusion rapidly can increase the risk of complications and does not prevent hemolytic reactions; transfusions should be given at a safe rate based on the client's condition.

C. Using a blood warmer is not a standard intervention to prevent hemolytic reactions; it's typically used in specific cases such as massive transfusions or hypothermia, but it does not address compatibility.

D. Administering prophylactic antihistamines is not a recommended practice to prevent hemolytic reactions; it is more relevant for preventing allergic reactions associated with transfusions.

A. Red blood cells (RBC) and hemoglobin (Hg) B. Leukocyte count (WBC) C. Erythrocyte sedimentation rate (ESR) D. Thrombocyte count

Correct Answer is A

Explanation

A. Red blood cells (RBC) and hemoglobin (Hg) levels are directly affected by epoetin alfa, which stimulates red blood cell production in the bone marrow, making these values essential for assessing the medication's effectiveness.

B. The leukocyte count (WBC) is not relevant to the effects of epoetin alfa, as this medication primarily influences erythropoiesis rather than white blood cell production.

C. The erythrocyte sedimentation rate (ESR) is a non-specific test used to detect inflammation but does not provide information regarding the effectiveness of epoetin alfa.

D. The thrombocyte count does not assess the effectiveness of epoetin alfa, as this medication is specifically aimed at increasing red blood cell production.

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A nurse is providing education to a client with human immunodeficiency virus (HIV) who is experiencing wasting syndrome. Which of these suggestions is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to transfuse a unit of packed red blood cells for a client with severe anemia. The nurse should identify that which of the following interventions will help prevent an acute hemolytic reaction?

Correct Answer is A

Explanation

A nurse is caring for a client who has chronic renal disease and is taking epoetin alfa (Procrit). Which laboratory result would be used to assess the effectiveness of this medication?

Correct Answer is A

Explanation

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