A client with lymphoma is experiencing weight loss and weakness.
What nutritional support measures should the nurse implement?
"Monitor the patient's dietary intake.”
"Administer intravenous fluids as prescribed.”
"Advise the patient to eat spicy and fatty foods.”
"Recommend avoiding high-calorie foods.”
The Correct Answer is A
Choice A rationale:
Monitor the patient's dietary intake.
Lymphoma patients often experience weight loss and weakness due to the effects of the disease and its treatment, including anorexia and nausea.
Monitoring the patient's dietary intake is essential to assess nutritional status, identify any deficiencies, and develop an appropriate nutritional plan.
It helps ensure that the patient receives adequate nutrients and calories to support their healing process.
Choice B rationale:
Administer intravenous fluids as prescribed.
While hydration is important, administering intravenous fluids should not be the first-line intervention for weight loss and weakness in a lymphoma patient.
Intravenous fluids may be necessary in cases of dehydration, but they do not address the underlying nutritional issues.
Other interventions, such as dietary modifications and supplements, should be considered first.
Choice C rationale:
Advise the patient to eat spicy and fatty foods.
Advising the patient to eat spicy and fatty foods is not appropriate for a patient with lymphoma who is experiencing weight loss and weakness.
Such foods can exacerbate gastrointestinal symptoms, leading to discomfort and further decreased food intake.
The focus should be on providing a balanced and nutritious diet.
Choice D rationale:
Recommend avoiding high-calorie foods.
Avoiding high-calorie foods is not advisable for a lymphoma patient experiencing weight loss and weakness.
These patients often require extra calories to combat weight loss and support their energy needs during treatment.
Encouraging a healthy intake of calories from nutritious sources is more appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Night sweats are one of the B-symptoms associated with lymphoma.
B-symptoms are systemic symptoms that include night sweats, unexplained weight loss, and fever.
These symptoms can be indicative of lymphoma, and their presence should be assessed in a patient with suspected lymphoma.
Choice B rationale:
Unexplained weight loss is another B-symptom commonly associated with lymphoma.
It can be a sign of lymphoma-related metabolic changes.
Assessing weight loss is important in evaluating a patient with suspected lymphoma.
Choice C rationale:
A constant cough that won't go away is not typically associated with lymphoma.
While lymphoma can cause respiratory symptoms if it involves lymph nodes in the chest, such as mediastinal lymph nodes, a persistent cough is not a primary symptom.
Choice D rationale:
Feeling weak and fatigued can be a non-specific symptom seen in various medical conditions, including lymphoma.
However, it is not a B-symptom and does not specifically point to lymphoma.
While fatigue can be associated with the disease, it is essential to consider other symptoms like night sweats and unexplained weight loss when assessing a patient for lymphoma.
Correct Answer is A
Explanation
Choice A rationale:
When assessing a patient with lymphoma, it is crucial to gather information about the characteristics of their symptoms.
Lymphoma symptoms can vary widely depending on the type, stage, and location of the cancer.
Understanding the specific symptoms, such as fatigue, night sweats, enlarged lymph nodes, unexplained weight loss, and itching, can help the nurse assess the severity and progression of the disease.
This information guides the healthcare team in making a diagnosis, determining the appropriate treatment plan, and monitoring the patient's response to treatment.
Choice B rationale:
"Do you have a family history of cardiovascular disease?" While family history is important for assessing the risk of various health conditions, including cardiovascular disease, it is not the primary concern when assessing a patient with lymphoma.
Lymphoma is a type of cancer, and the focus should be on gathering information related to cancer symptoms and risk factors.
Choice C rationale:
"Have you ever had surgery?" The patient's surgical history may be relevant for their overall health assessment, but it is not the top priority when assessing a patient with lymphoma.
The nurse should first focus on collecting information directly related to lymphoma symptoms, diagnosis, and treatment.
Choice D rationale:
"What is your favorite type of food?" The patient's food preferences are not relevant to the assessment of lymphoma.
This question does not provide essential information for evaluating the patient's condition or developing an appropriate care plan.
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