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?
Serve foods hot.
Increase intake of liquids at mealtime.
Consume foods high in fat content.
Select foods high in protein.
The Correct Answer is D
Choice A rationale:
Serving foods hot might seem like a way to enhance the aroma and taste, which could be appealing to the client. However, hot foods might worsen nausea and discomfort for someone undergoing radiation therapy due to their heightened sensitivity to smells. This choice doesn't directly address the client's symptoms.
Choice B rationale:
Increasing the intake of liquids at mealtime could be helpful to prevent dehydration, but it doesn't directly address the reported symptoms of nausea, stomatitis (inflammation of the mouth), and weight loss. Moreover, certain liquids might irritate the client's throat, making this choice less suitable.
Choice C rationale:
Consuming foods high in fat content is not the ideal choice for this client. Fat-rich foods can be heavy and difficult to digest, potentially exacerbating nausea and not being well-tolerated by someone experiencing stomatitis.
Choice D rationale:
The best choice is to recommend foods high in protein. Protein is essential for tissue repair, immune function, and maintaining lean body mass. Given the client's reported weight loss and stomatitis, protein-rich foods can aid in promoting tissue healing and preventing further muscle loss. Additionally, focusing on protein sources that are easy to swallow and tolerate can address the client's discomfort while supporting their nutritional needs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Citrus fruits. Citrus fruits are generally not associated with high allergy risk, especially in comparison to some other allergenic foods. While any food has the potential to cause an allergic reaction, citrus fruits are less likely to be a significant concern for toddlers in terms of allergies. They are rich in vitamin C and are generally considered healthy choices for most individuals.
Choice B rationale:
Bananas. Bananas are also not commonly associated with high allergenicity. They are typically well-tolerated by most individuals and are often recommended as an early solid food for infants. The risk of allergies to bananas is relatively low, making them a safe choice for toddlers.
Choice C rationale:
Milk. While milk allergies are more common in infants and young children, they tend to decrease with age. Additionally, the question refers to toddlers, who are past the age where milk is typically introduced. While milk allergies can occur, they are not usually the highest risk for allergies in toddlers.
Choice D rationale:
Eggs. Eggs are known to be one of the top allergenic foods, especially in young children. They can trigger severe allergic reactions, including anaphylaxis, in susceptible individuals. The protein in egg whites is often responsible for these reactions. Because of the high allergy risk associated with eggs, they are the highest concern among the options listed for allergies in toddlers.
Correct Answer is D
Explanation
Choice A rationale:
An HbA1c level of 5% is within the target range for good diabetes control. HbA1c represents the average blood glucose level over the past two to three months, and an HbA1c of 5% indicates well-managed blood glucose levels.
Choice B rationale:
An LDL level of 64 mg/dL is within the recommended range for individuals at risk for heart disease. Lower LDL levels are associated with reduced risk, but 64 mg/dL is not a concerning value and is not typically associated with an increased risk of coronary heart disease.
Choice C rationale:
A total cholesterol level of 173 mg/dL is within the desirable range for adults. While it's important to consider both LDL and HDL cholesterol levels, the total cholesterol value alone is not sufficient to indicate a significant risk of coronary heart disease.
Choice D rationale:
A fasting glucose level of 140 mg/dL indicates hyperglycemia (elevated blood glucose) and is a significant risk factor for coronary heart disease. Hyperglycemia is associated with increased oxidative stress, inflammation, and vascular damage, all of which contribute to the development of cardiovascular complications in individuals with diabetes. It's crucial to manage blood glucose levels to reduce the risk of heart disease and other diabetes-related complications.
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