A nurse is teaching a client who has chemotherapy-induced nausea and vomiting. Which of the following instructions should the nurse include in the teaching?

Eat high-carbohydrate foods.

Eat 30 min before chemotherapy.

Eat foods that are warm in temperature.

Eat three large meals each day.

Answer and Explanation

The Correct Answer is A

A. Eat high-carbohydrate foods. High-carbohydrate foods are typically easier to digest and can help manage nausea.
B. Eat 30 min before chemotherapy. Eating just before chemotherapy can increase nausea and vomiting.
C. Eat foods that are warm in temperature. Warm foods can sometimes exacerbate nausea; cool or room-temperature foods are often better tolerated.
D. Eat three large meals each day. Small, frequent meals are recommended to help manage nausea and vomiting.

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Correct Answer is B

Explanation

A. "Perform vigorous intensity aerobic exercise for 50 minutes per week." The TLC diet recommends moderate-intensity physical activity for at least 30 minutes most days of the week, totaling about 150 minutes per week. Vigorous exercise is beneficial but is not the primary focus of the TLC guidelines.
B. "Increase your intake of total fiber to 30 grams each day." This is correct. Increasing fiber intake to 20-30 grams per day is a key component of the TLC diet, as it helps to lower LDL cholesterol and improve overall heart health.
C. "You will have your LDL measured every 6 months." While regular monitoring of LDL levels is important, the TLC guidelines do not specify that LDL should be measured every 6 months. Frequency of monitoring should be individualized based on the client's health status and risk factors.
D. "You should have a weight loss goal of 3 pounds per week." A weight loss goal of 1-2 pounds per week is recommended as safe and sustainable. Aiming for 3 pounds per week may be too aggressive and difficult to maintain.

A. Block the coworker's access to social media on hospital computers. B. Refer the coworker to the hospital ethics committee. C. Tell the coworker to delete the social media post. D. Report the coworker's post to the nurse manager or supervisor.

Correct Answer is D

Explanation

A. Block the coworker's access to social media on hospital computers. Blocking access to social media on hospital computers may prevent future posts but does not address the immediate HIPAA violation or educate the coworker about proper conduct.
B. Refer the coworker to the hospital ethics committee. This may be a subsequent step if the violation is severe, but it does not provide an immediate response to the HIPAA breach.
C. Tell the coworker to delete the social media post. While this might remove the current violation, it does not follow the proper protocol for reporting HIPAA breaches and does not ensure accountability or prevent future incidents.
D. Report the coworker's post to the nurse manager or supervisor. This is the correct action. Reporting to the nurse manager or supervisor ensures that the incident is documented, investigated, and handled according to the hospital’s policies and HIPAA regulations.

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A nurse is teaching a client who has chemotherapy-induced nausea and vomiting. Which of the following instructions should the nurse include in the teaching?

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Correct Answer is B

Explanation

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Correct Answer is D

Explanation

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