Which nursing intervention is the most appropriate to implement for a client who experiencing weight loss due to nausea caused by chemotherapy?

Withhold solid foods and switch the client to liquid nutrition

Encourage the client to consume small, frequent meals throughout the day

Teach the client to eat one large meal per day to increase calorie intake

Insert a nasogastric tube and administer tube feedings

Answer and Explanation

The Correct Answer is B

A.   Automatically switching to liquid nutrition without assessing the client’s tolerance and needs may not be the most appropriate first step. It’s important to consider the client’s preferences, nutritional requirements, and overall ability to tolerate different types of food.
B.   This is a highly appropriate and commonly recommended intervention for clients experiencing nausea and weight loss due to chemotherapy. Small, frequent meals can help manage nausea better than large meals and ensure a more consistent intake of calories and nutrients.
C.   Eating one large meal per day is generally not advisable for clients with nausea, as it can exacerbate feelings of fullness and discomfort. Large meals may increase nausea and make it more difficult for the client to consume adequate nutrients. Small, frequent meals are generally better tolerated and more effective for managing nausea and ensuring consistent nutrient intake.
D.   Inserting a nasogastric (NG) tube and administering tube feedings is a more invasive measure and is usually considered only if oral intake is severely compromised and other interventions have been ineffective. Tube feedings are appropriate for clients who cannot meet their nutritional needs through oral intake due to severe nausea, vomiting, or other conditions.

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Correct Answer is D

Explanation

A. The ACTH stimulation test measures the adrenal glands' response to ACTH, not the kidneys.
B. In Addison’s disease, the adrenal glands are damaged and unable to produce sufficient cortisol even when stimulated by ACTH. Therefore, plasma cortisol levels will not rise significantly in response to
ACTH administration in individuals with Addison’s disease.
C. The ACTH stimulation test involves administering ACTH via injection, not orally.
D. ACTH (adrenocorticotropic hormone) is produced by the pituitary gland and stimulates the adrenal glands to produce cortisol. The ACTH stimulation test assesses how well the adrenal glands respond to ACTH, which is crucial for diagnosing conditions like Addison’s disease, where the adrenal glands do not respond appropriately.

A. Women with lupus should ensure that they get plenty of sun each day while they are pregnant. B. Women with lupus should not become pregnant, because the disease poses too many risks. C. Women with lupus should have frequent prenatal visits and close monitoring of lupus symptoms during pregnancy. D. Women with lupus should avoid all medications during pregnancy to prevent harm to the baby.

Correct Answer is C

Explanation

A. Women with lupus should ensure that they get plenty of sun each day while they are pregnant. Exposure to sunlight can exacerbate lupus symptoms, especially in women with lupus photosensitivity. It's important for women with lupus to avoid excessive sun exposure and wear protective clothing and sunscreen.

B. Women with lupus should not become pregnant, because the disease poses too many risks. While pregnancy can pose additional risks for women with lupus, it is not always contraindicated. With proper management, many women with lupus can have healthy pregnancies.
C. It is important for women with lupus to receive frequent prenatal care and close monitoring of their lupus symptoms throughout pregnancy. This includes regular check-ups with a rheumatologist and obstetrician, monitoring of blood pressure, kidney function, and lupus activity, as well as screening for fetal development.
D. Women with lupus should avoid all medications during pregnancy to prevent harm to the baby. This is not always the case. Some medications may be necessary to manage lupus symptoms during pregnancy, and the benefits often outweigh the risks. It's important to discuss medication options with healthcare providers to determine the best course of action.

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Which nursing intervention is the most appropriate to implement for a client who experiencing weight loss due to nausea caused by chemotherapy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is scheduled for an adrenocorticotropic hormone (ACTH) stimulation test to help diagnose suspected Addison's disease. What should the nurse include when teaching the client about this test?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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