A nurse is caring for a client who has AIDS and is experiencing wasting syndrome. Which of the following actions should the nurse take to prevent malnutrition?

Suggest the client avoid snacking during the day.

Encourage the client to rest before eating meals.

Instruct the client to consume 1 L of fluid daily.

Tell the client to increase the saturated fat content of each meal.

Answer and Explanation

The Correct Answer is B

A) "Suggest the client avoid snacking during the day.": Snacking can help maintain caloric intake and prevent malnutrition. It is generally beneficial for clients with wasting syndrome to have frequent, small meals and snacks throughout the day to increase overall caloric and nutrient intake.

B) "Encourage the client to rest before eating meals.": Resting before meals can help conserve energy, making it easier for clients with wasting syndrome to eat larger portions and improve their nutritional intake. Fatigue can significantly reduce appetite and meal consumption, so conserving energy for eating is a practical strategy.

C) "Instruct the client to consume 1 L of fluid daily.": Proper hydration is important, but 1 liter may be insufficient for overall hydration needs. Clients with AIDS and wasting syndrome should be encouraged to maintain adequate fluid intake to support overall health and aid in digestion, which typically requires more than 1 liter per day.

D) "Tell the client to increase the saturated fat content of each meal.": Increasing saturated fat content is not advisable as it can lead to other health complications such as cardiovascular disease. Instead, a balanced diet with healthy fats, proteins, and carbohydrates is more appropriate to address malnutrition in clients with wasting syndrome.

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Correct Answer is B

Explanation

A) It manifests as a sense of relief upon the loved one's death: This describes a possible outcome of anticipatory grief but does not define anticipatory grief itself. While relief can be a reaction, it is not the core characteristic of anticipatory grief.

B) It causes a prolonged grief response to occur: Anticipatory grief involves experiencing grief before the actual loss occurs. This process can sometimes lead to a prolonged grief response, as individuals might go through stages of grief before and after the loss.

C) It occurs when the loss of a loved one cannot be shared openly: This describes disenfranchised grief, which happens when the loss is not socially acknowledged or supported. Anticipatory grief occurs prior to the loss, not due to a lack of social support.

D) It remains difficult to process due to a lack of finality: While anticipatory grief can be challenging due to ongoing uncertainties and emotional strain, it is not primarily defined by a lack of finality. The grief occurs as individuals anticipate the impending loss.

A. Place the child in a tub bath of tepid water. B. Cover the child's head with a hat. C. Administer acetaminophen every 4 hr. D. Obtain a specimen for blood cultures.

Correct Answer is B

Explanation

A) Place the child in a tub bath of tepid water: While tepid water can help in some situations of hyperthermia, it is not suitable for hypothermia. A more controlled and gradual rewarming method is necessary to prevent further complications such as rewarming shock.

B) Cover the child's head with a hat: Covering the child's head with a hat is an important step in rewarming because a significant amount of body heat is lost through the head. This helps in retaining body heat and stabilizing the child’s temperature.

C) Administer acetaminophen every 4 hr: Acetaminophen is typically used for reducing fever and managing pain. It is not indicated for treating hypothermia, as it does not aid in rewarming the body or addressing the underlying hypothermic condition.

D) Obtain a specimen for blood cultures: While obtaining blood cultures might be necessary if there is a suspicion of infection, it is not a primary intervention for treating hypothermia. Immediate focus should be on rewarming and stabilizing the child.

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A nurse is caring for a client who has AIDS and is experiencing wasting syndrome. Which of the following actions should the nurse take to prevent malnutrition?

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Naxlex Comprehensive Predictor Exams

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