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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Correct Answer is C

Explanation

A. This tablet has no score line and could have an extended-release or special coating that should not be altered. Cutting it may affect absorption and safety.

B. The triangular shape and lack of score line suggest it is not intended to be split, risking improper dosing or altered release.

C. The tablet in option C has a scored line (a groove down the middle), which indicates that it can be safely split. Scored tablets are manufactured to ensure even distribution of the active ingredient, making it safe for dose division.

D. This is a capsule, which should never be cut or opened unless specifically directed, as it may contain extended-release beads or irritants.

A. Bring a sterile chest drainage unit from central supply to the unit. B. Observe a client's gait to determine the need for assistance. C. Evaluate a client's urinary catheter for proper drainage. D. Call the pharmacy to obtain a client's next antibiotic dose.

Correct Answer is A

Explanation

A. Bring a sterile chest drainage unit from central supply to the unit: This task can be delegated to a UAP. It involves retrieving an item from central supply, which is a non-clinical task and does not require nursing judgment or clinical assessment.

B. Observe a client's gait to determine the need for assistance: While UAPs can observe and report changes, assessing gait for the need of assistance involves clinical judgment and evaluation of the patient's safety, which should be done by a nurse.

C. Evaluate a client's urinary catheter for proper drainage: Evaluating proper drainage involves clinical assessment, which is within the scope of nursing practice, not a task for a UAP. The nurse should assess for proper functioning and any signs of complications.

D. Call the pharmacy to obtain a client's next antibiotic dose: Calling the pharmacy for medications involves communication and clinical decision-making, which is outside the scope of tasks that can be delegated to a UAP. The nurse should handle medication orders.

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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

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