A home health nurse is caring for a client who has chemotherapy-induced nausea that has been resistant to relief from pharmacological measures. Which of the following interventions should the nurse initiate? (Select all that apply)
Use seasonings to enhance the flavor of foods.
Provide sips of room temperature ginger ale between meals.
Maintain the head of the client's bed in an elevated position after eating.
Offer 120 ml (4 oz.) of cold 2% milk as a meal replacement.
Assist the client in using guided imagery.
Correct Answer : B,C,E
Choice A reason: Using seasonings to enhance the flavor of foods is not an intervention that the nurse should initiate. This may worsen the nausea and vomiting, as some seasonings may be too spicy, salty, or acidic for the client. The nurse should advise the client to avoid foods that are greasy, fried, or have strong odors, and to choose bland, soft, or liquid foods that are easy to digest.
Choice B reason: Providing sips of room temperature ginger ale between meals is an intervention that the nurse should initiate. This can help to settle the stomach and reduce the nausea and vomiting. Ginger has antiemetic properties that can inhibit the serotonin receptors in the gastrointestinal tract. The nurse should also encourage the client to drink plenty of fluids to prevent dehydration.
Choice C reason: Maintaining the head of the client's bed in an elevated position after eating is an intervention that the nurse should initiate. This can help to prevent the reflux of gastric contents and reduce the nausea and vomiting. The nurse should also instruct the client to eat small, frequent meals, and to avoid lying down for at least an hour after eating.
Choice D reason: Offering 120 ml (4 oz.) of cold 2% milk as a meal replacement is not an intervention that the nurse should initiate. This may worsen the nausea and vomiting, as milk and dairy products may be difficult to digest and may increase the production of mucus. The nurse should suggest other sources of protein and calcium, such as soy milk, yogurt, or cheese.
Choice E reason: Assisting the client in using guided imagery is an intervention that the nurse should initiate. This can help to reduce the nausea and vomiting, as well as the anxiety and stress associated with chemotherapy. Guided imagery is a relaxation technique that involves creating positive mental images that can distract the client from the unpleasant sensations and feelings. The nurse should help the client to choose an image that is soothing and comforting, and to focus on the sensory details of the image.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
Choice A reason: Investigating potential health and environmental issues is a key function of community-oriented nursing, as it helps to identify and address the factors that affect the health of the population.
Choice B reason: Initiating support groups for parents of autistic children is not a specific task of community-oriented nursing, as it focuses on a particular subgroup rather than the whole population. This is more aligned with community-based nursing, which provides care to individuals and families in their natural settings.
Choice C reason: Providing wound care for clients in their homes is not a specific task of community-oriented nursing, as it focuses on individual needs rather than population needs. This is also more aligned with community-based nursing, which provides direct care to clients in their homes.
Choice D reason: Participating in local health surveillance activities is a key function of community-oriented nursing, as it helps to monitor and evaluate the health status and trends of the population.
Choice E reason: Providing health-related education to community groups is a key function of community-oriented nursing, as it helps to promote health and prevent disease among the population.
Correct Answer is A
Explanation
Choice A reason:This is a correct recommendation. The American Academy of Ophthalmology advises adults aged 40–64 to have a comprehensive eye exam every 2 years. Regular exams are essential to detect common age-related conditions like glaucoma, cataracts, and macular degeneration. After age 65, annual eye exams are often recommended.
Choice B reason: You should have your hearing screened every 10 years, not every 5 years, until the age of 50. After 50, you should have a hearing test every 3 years.
Choice C reason:While stool-based testing for colorectal cancer (such as FOBT or FIT) is recommended starting at age 45, it is typically done annually, not every other year. Other screening methods, like a colonoscopy, may have a longer interval but should follow guidelines tailored to the patient’s risk profile.
Choice D reason: You should have your fasting blood glucose level checked every 3 years, not every 6 years, starting at age 45. This is a screening test for diabetes, which can increase your risk of heart disease, stroke, kidney disease, and other complications. If you have a history of gestational diabetes, obesity, or other risk factors, you may need more frequent testing.
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