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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}
Explanation
Understanding: A, D, E, F
No understanding: B, C
A. This indicates understanding. Distractions during meals are discouraged to focus on chewing and swallowing.
B. This indicates no understanding. This is not a recommended technique for managing dysphagia. It's important to maintain a neutral head position during swallowing.
C. This indicate no understanding. Nuts are a common choking hazard and are often restricted for individuals with dysphagia to prevent aspiration.
D. This is a correct understanding. It's important to separate drinking liquids and eating to prevent choking and aspiration.
E. This is a correct understanding. Depending on the severity of dysphagia, a soft or pureed diet may be recommended.
F. Cream soups are generally allowed on a dysphagia diet, as they are usually smooth and do not pose a high risk of aspiration.
Correct Answer is D
Explanation
A. Cryosurgery involves freezing the lesion and is typically used for benign lesions.
Malignant melanoma often requires more extensive treatment.
B. Radiation therapy may be used in certain cases, but surgical excision is often the primary treatment for malignant melanoma.
C. Chemotherapy is not the primary treatment for localized malignant melanoma but may be used for advanced cases or metastatic disease.
D. Surgical excision is the primary treatment for localized malignant melanoma, aiming to remove the tumor along with a margin of normal tissue.

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