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.
Assist the client in using guided imagery.
Maintain the head of the client's bed in an elevated position after eating.
Provide sips of room-temperature ginger ale between meals.
Offer 120 mL (4 0z) of cold 2% milk as a meal replacement.
Correct Answer : B,C,D
The correct answers are B, C, and D. The nurse should assist the client in using guided imagery, maintain the head of the client's bed in an elevated position after eating, and provide sips of room-temperature ginger ale between meals. Guided imagery can help distract the client from the nausea and promote relaxation.
Elevating the head of the bed after eating can help prevent reflux and nausea. Ginger ale can help relieve nausea and can be sipped slowly between meals. Using seasonings to enhance the flavor of foods is not likely to help with chemotherapyinduced nausea, and cold milk as a meal replacement may not provide enough calories and nutrients.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is D
Explanation
A client who expresses fear of experiencing pain near the end may be at risk for suicide. This statement suggests that the client is considering end-of-life issues, which may be a trigger for suicidal ideation. The other statements do not necessarily indicate a risk for suicide. Statement A suggests a desire for control, statement B expresses optimism, and statement C suggests reliance on a partner for support.
Correct Answer is B
Explanation
The host in the epidemiological triangle is the organism that harbors the disease. In the case of a mumps outbreak among school-age children, the host is the children themselves. The virus (choice C) is the agent that causes the disease, and the vaccine (choice D) is a means of preventing the disease. The school (choice A) is not the host, but it may be the environment where the disease is spreading.
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