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:
Administer intravenous fluids as prescribed.
Lymphoma patients may experience fluid and electrolyte imbalances due to factors such as nausea, vomiting, and treatment-related side effects.
Administering intravenous fluids as prescribed can help maintain hydration and electrolyte balance, especially if the patient is unable to tolerate oral intake.
Choice B rationale:
Encourage the patient to consume caffeine and alcohol.
Encouraging the consumption of caffeine and alcohol is not appropriate for a patient with lymphoma who needs to maintain fluid and electrolyte balance.
Both caffeine and alcohol can have diuretic effects and may worsen dehydration and electrolyte imbalances.
Choice C rationale:
Teach the patient to report signs of imbalance.
Educating the patient to report signs of fluid and electrolyte imbalance is important for early detection and intervention.
However, this alone is not sufficient as an intervention.
Actual measures to address the imbalance, such as administering fluids or adjusting the treatment plan, should be implemented based on the patient's condition.
Choice D rationale:
Administer diuretics as prescribed.
Administering diuretics should not be the first-line intervention for a patient with lymphoma who is at risk of fluid and electrolyte imbalance.
Diuretics can exacerbate these imbalances and should only be used when medically necessary and under the guidance of a healthcare provider.
Correct Answer is A
Explanation
Choice A rationale:
Educating the patient about the type and subtype of lymphoma is crucial for their understanding of the disease.
Lymphomas can be classified into various types, including Hodgkin lymphoma and non-Hodgkin lymphoma, each with different subtypes.
Knowing the specific type and subtype of lymphoma helps the patient comprehend their diagnosis, prognosis, and treatment options, as these can vary significantly among different lymphoma types.
Choice B rationale:
"I will discuss the treatment options available." Providing information about treatment options is an essential part of educating a patient with lymphoma.
However, understanding the type and subtype of lymphoma comes first because treatment decisions are often based on this classification.
Therefore, choice A takes precedence in the education process.
Choice C rationale:
This information helps the patient prepare for what to expect during treatment.
Choice D rationale:
"I will give you all the necessary medications." While medication management is a crucial aspect of lymphoma treatment, it should be discussed after the patient has been informed about their specific lymphoma type, treatment options, and potential side effects.
The choice of medications depends on the treatment plan tailored to the patient's diagnosis.
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