A nurse is caring for a client who has throat cancer and is receiving radiation therapy. The client reports nausea, stomatitis, and weight loss. Which of the following dietary interventions should the nurse recommend?
Increase intake of liquids at mealtime.
Serve foods hot.
Consume foods high in fat content.
Select foods high in protein.
The Correct Answer is D
Throat cancer and radiation therapy can cause various side effects, including nausea, stomatitis (inflammation of the mouth), and weight loss. In this situation, it is important to focus on nutritional support and addressing the client's symptoms.
Selecting foods high in protein is recommended for this client. Protein is essential for tissue repair and maintaining muscle mass, which is crucial for recovery and preventing further weight loss. Foods high in protein include lean meats, poultry, fish, dairy products, eggs, legumes, and tofu. The nurse can work with a registered dietitian to develop a meal plan that incorporates protein-rich foods while considering the client's preferences and any specific dietary restrictions.
Regarding the other options:
● Increase intake of liquids at mealtime: While it is important for the client to maintain hydration, increasing liquid intake at mealtime may contribute to a feeling of fullness and exacerbate nausea. It is generally recommended to consume liquids between meals rather than with meals.
● Serve foods hot: Serving foods hot may not directly address the client's symptoms. The temperature of the food is unlikely to alleviate nausea, stomatitis, or weight loss.
● Consume foods high in fat content: Foods high in fat content may be difficult to tolerate for a client experiencing nausea and stomatitis. Additionally, focusing on increasing protein intake is generally a higher priority than increasing fat intake for a client experiencing weight loss
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Prednisone is a corticosteroid medication that is commonly prescribed for various conditions due to its anti-inflammatory and immunosuppressive effects. However, corticosteroids can impair wound healing by reducing the body's inflammatory response, delaying collagen synthesis, and weakening the tensile strength of the wound. This increases the risk of wound dehiscence, which is the separation or opening of surgical incisions.
Omeprazole is a proton pump inhibitor used to reduce stomach acid production and prevent gastric ulcers but does not directly affect wound healing or increase the risk of wound dehiscence.
Zolmitriptan is a medication used for the acute treatment of migraines and does not directly affect wound healing or increase the risk of wound dehiscence.
Verapamil is a calcium channel blocker used to treat high blood pressure and certain heart conditions. It does not directly affect wound healing or increase the risk of wound dehiscence.
Correct Answer is B
Explanation
"My baby will receive the most milk within the first 10 minutes of the feeding": This statement is correct. During the first few minutes of breastfeeding, the baby receives the foremilk, which is more watery and quenches their thirst. The hindmilk, which is higher in fat and provides more calories, is obtained as the feeding progresses.
"I need to supplement feedings with water once my baby is 4 months old": Breast milk provides all the necessary fluids for the baby, and additional water supplementation is generally not needed for exclusively breastfed infants.
"The purpose of alternating breasts during feedings is to promote comfort": The purpose of alternating breasts during feedings is to ensure that the baby receives both foremilk and hindmilk from each breast and to stimulate milk production in both breasts. It is not primarily for promoting comfort.
"During the first few weeks, I should nurse my baby every 4 hours": Breastfed newborns typically feed more frequently than every 4 hours, especially during the early weeks.
On-demand feeding is recommended, which means feeding the baby whenever they show hunger cues, which can be more frequent than every 4 hours.
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