A nurse at a provider’s office is reinforcing teaching with a client who is being treated with chemotherapy and is losing weight. Which of the following instructions should the nurse give to increase the client’s caloric intake? (Select all that apply.)

Use honey on toast.

Use milk instead of water in recipes.

Increase fluids during meals.

Substitute salad dressing for mayonnaise on sandwiches

Top yogurt with granola.

Answer and Explanation

Correct Answer : A,B,D,E

A.   Using honey on toast adds calories and sweetness.
B.   Use milk instead of water in recipes increases the caloric content of the meal.
C.   While important for hydration, it does not directly increase caloric intake.
D.   Mayonnaise has more calories.
E.   Topping yogurt with granola adds calories and texture to increase caloric intake.

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Correct Answer is D

Explanation

A. This statement reflects a sense of blame and responsibility but may not necessarily indicate a body image disturbance.
B. This statement may indicate frustration with physical therapy progress but does not directly address body image.
C. This statement reflects guilt or self-blame but may not necessarily indicate a body image disturbance.
D. This statement directly addresses the client's perception of their body image following the amputation.

A. The client draws his legs up into a fetal position. B. The facial muscles relax. C. The respiratory rate increases. D. The shoulders droop. E. The pulse is within the expected range

Correct Answer is ["B","D","E"]

Explanation

A. Drawing legs up into a fetal position may indicate discomfort or agitation.
B. Facial muscle relaxation is indicative of a therapeutic response to the massage.
C. An increased respiratory rate may suggest distress or discomfort.
D. Drooping shoulders suggest relaxation and a positive response to the massage.
E. Maintaining an expected pulse rate indicates that the massage is not causing undue stress or discomfort.

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A nurse at a provider’s office is reinforcing teaching with a client who is being treated with chemotherapy and is losing weight. Which of the following instructions should the nurse give to increase the client’s caloric intake? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes mellitus and had a below the knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?

Correct Answer is D

Explanation

A nurse provides a back massage as palliative care to an unconscious client who is grimacing and restless. Which of the following indicates a therapeutic response? (Select all that apply.)

Correct Answer is ["B","D","E"]

Explanation

A nurse is reinforcing discharge teaching with a client who has a new diagnosis of a latex allergy. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing?

Which of the following should the nurse recognize as a sign of possible infection in a postoperative client? (Select all that apply.)

A nurse at a provider’s office is reinforcing teaching with a client who is being treated with chemotherapy and is losing weight. Which of the following instructions should the nurse give to increase the client’s caloric intake? (Select all that apply.)

A nurse is assisting with performing a skin preparation for a client who is scheduled for surgery. Which of the following actions should the nurse take?

A nurse is assisting in performing triage on several clients following a mass casualty event. The nurse should assign a red tag to which of the following clients?

A nurse is preparing to administer immunizations to a patient who has an allergy to eggs. The nurse should know that an allergy to eggs is a contraindication for which of the following immunizations?

A nurse is contributing to the plan of care for a client who had a total joint replacement and is two days postoperative. Which of the following resources should the nurse consult to determine the client’s activity level for the day?