The home care nurse visits a client who has cancer. The client reports having a good appetite but experiencing nausea when smelling food cooking. Which action should the nurse implement?

Instruct the client to take an antiemetic before every meal to prevent excessive vomiting.

Encourage family members to cook meals outdoors and bring the cooked food inside.

Assess the client's mucous membranes and report the findings to the healthcare provider.

Advise the client to replace cooked foods with a variety of different nutritional supplements.

Answer and Explanation

The Correct Answer is B

A. Instruct the client to take an antiemetic before every meal to prevent excessive vomiting:While antiemetics can be helpful, this action may not address the underlying issue of food smells causing nausea. It is important to address the client’s sensory triggers.

B. Encourage family members to cook meals outdoors and bring the cooked food inside:
This can help reduce the trigger for nausea caused by the smell of cooking food. Cooking outdoors minimizes exposure to food smells, which could alleviate the client’s discomfort.

C. Assess the client's mucous membranes and report the findings to the healthcare provider: Assessing the mucous membranes is important in general care, especially for clients with cancer, but it is not directly related to the reported issue of nausea triggered by food smells.

D. Advise the client to replace cooked foods with a variety of different nutritional supplements: While nutritional supplements can be useful if the client is unable to tolerate solid foods, this advice doesn't address the root cause of the nausea related to food smells.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. A child with asthma, who takes prednisone and has a fasting serum glucose of 180 mg/dL (10 mmol/L): This client’s fasting glucose is well above the normal range. Prednisone can increase blood glucose levels, placing the child at risk for hyperglycemia. This indicates a need for urgent education on blood glucose management while on steroids.

B. An adolescent male who has type 1 diabetes and a random glucose at 120 mg/dL (6.7 mmol/L): This blood glucose level is within normal limits for random testing. No immediate need for change in diabetic teaching is evident based on this value.

C. A female who has gestational diabetes and has a 1-hour postprandial glucose at 140 mg/dL (7.8 mmol/L): Her result meets the upper limit range for gestational diabetes. While she requires ongoing monitoring, her values do not indicate a need for urgent intervention.

D. An adult who has type 2 diabetes and has a glycosylated hemoglobin (Hb A1C) at 10%: Although this indicates poor long-term control, it reflects a chronic issue. The child with an acutely elevated fasting glucose and corticosteroid use is at greater immediate risk and thus has higher priority for education.

A. Have the client sign consent forms for procedures already performed B. Decrease the noise and light stimuli in the room as much as possible C. Consider extubating the client D. Increase the propofol infusion E. Determine the client's decision-making ability F. Explain all procedures G. Notify the social worker the client is awake. H. Assess the client's pain

Correct Answer is ["B","E","F","G","H"]

Explanation

A. Have the client sign consent forms for procedures already performed: It is inappropriate to have the client sign consent forms for procedures that have already been completed. Consent must be obtained before procedures, and once a patient is awake, a retrospective consent is not legally valid.

B. Decrease the noise and light stimuli in the room as much as possible: As the client becomes more aware, it’s important to create a calm and quiet environment to reduce sensory overload. This helps the client adjust to the waking process and minimizes confusion or distress.

C. Consider extubating the client: Extubation should not be considered until the client is fully awake, alert, and able to maintain their own airway. The client is still recovering from the effects of anesthesia and requires ongoing monitoring before extubation can be safely considered.

D. Increase the propofol infusion: There is no indication that the propofol infusion needs to be increased, especially now that the client is waking up. The goal is to reduce sedation as the client becomes more aware, not increase it.

E. Determine the client's decision-making ability: As the client regains awareness, it’s crucial to assess her ability to make decisions. This will help guide the plan of care, particularly if she needs to provide consent for further procedures or treatment.

F. Explain all procedures: It’s important to explain any procedures and provide information about her care. This helps reduce anxiety, ensures the client understands what is happening, and promotes collaboration in the care process.

G. Notify the social worker the client is awake: The social worker should be notified as the client becomes more aware so they can assist with family contact and provide necessary emotional support.

H. Assess the client's pain: Assessing pain levels is crucial, especially given the trauma and the potential for post-operative discomfort. Ensuring pain is managed effectively will promote recovery and improve the patient's comfort.

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The home care nurse visits a client who has cancer. The client reports having a good appetite but experiencing nausea when smelling food cooking. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

Exhibits The client has started to wake up more, opening her eyes without stimulation and looking around the room. Which should the nurse do as the client becomes more aware of her surroundings? Select all that apply.

Correct Answer is ["B","E","F","G","H"]

Explanation

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