A nurse is caring for a client who is receiving chemotherapy treatments. The client states, "I feel so nauseated after my treatments." Which of the following instructions should the nurse provide the client? (Select all that apply.)

Limit use of antiemetics until after first emesis.

Sit up for 1 hr after eating meals.

Eat foods low in carbohydrates.

Sip fluids shyly throughout the day.

Consume foods that are served cold.

Answer and Explanation

Correct Answer : B,D,E

A. Limit use of antiemetics until after first emesis: Antiemetics are more effective when administered prophylactically before the onset of nausea. Waiting until after emesis can reduce their effectiveness and worsen the client's discomfort and nutritional status.
B. Sit up for 1 hr after eating meals: Sitting upright for at least an hour after meals helps prevent gastric reflux and reduces the likelihood of nausea and vomiting. It also promotes digestion by allowing gravity to aid in the movement of food through the gastrointestinal tract, which can be especially beneficial for chemotherapy clients prone to delayed gastric emptying.
C. Eat foods low in carbohydrates: Carbohydrates, particularly simple ones like toast, rice, or crackers, are usually better tolerated during chemotherapy-induced nausea. Low-carbohydrate foods may be harder to digest and may not provide the quick energy or stomach-soothing effect that simple carbs do.
D. Sip fluids shyly throughout the day: Sipping fluids slowly throughout the day helps maintain hydration while avoiding the discomfort and nausea that can come from drinking large amounts at once. It also prevents dehydration, a common complication of chemotherapy. Gradual fluid intake is easier to tolerate and supports overall gastrointestinal comfort.
E. Consume foods that are served cold: Cold foods are generally better tolerated than hot or heavily seasoned ones during chemotherapy treatment. Hot foods can have strong odors that trigger nausea, while cold foods are often milder in smell and taste. Offering cold meals like yogurt, chilled fruits, or cold sandwiches can help reduce nausea severity.

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Correct Answer is ["A","E"]

Explanation

A. Remove the solution from the refrigerator 1 hr before infusing: Allowing the TPN solution to warm to room temperature helps reduce the risk of vein irritation and discomfort. Cold solutions can cause venospasm or systemic reactions when infused into the bloodstream.
B. Increase the rate of the infusion as needed to keep it on schedule: TPN must be administered at a consistent prescribed rate. Increasing the rate without orders can lead to hyperglycemia, fluid overload, or metabolic complications. Any delays should be reported to the healthcare provider.
C. Weigh the client every other day: Daily weight monitoring is essential in TPN therapy to assess fluid balance and nutritional status. Weighing the client only every other day may delay the recognition of fluid overload or dehydration.
D. Change the client's TPN catheter tubing every 72 hr: TPN tubing should be changed every 24 hours to reduce the risk of catheter-related bloodstream infections. Extending beyond this time frame increases the likelihood of microbial contamination.
E. Infuse TPN through a central venous line: Due to its high glucose and osmolarity content, TPN must be administered via a central line to prevent phlebitis and allow for rapid, well-tolerated infusion. Peripheral administration is not suitable for long-term TPN.

A. "I will eat something when I feel hungry." B. "I will peel apples before I eat them." C. "I will eliminate carbohydrates from my diet." D. "I will use corn oil when frying foods."

Correct Answer is A

Explanation

A. "I will eat something when I feel hungry." Responding to true physical hunger is a principle of mindful eating, which supports weight loss by preventing overeating due to emotional or external cues. Recognizing and honoring hunger promotes better portion control and sustainable eating habits.
B. "I will peel apples before I eat them." Apple peels contain fiber, which increases satiety and supports digestive health. Removing the peel reduces fiber content, which may make the snack less filling and hinder weight management efforts.
C. "I will eliminate carbohydrates from my diet." Eliminating carbohydrates completely is not recommended for healthy weight loss. Balanced diets that include whole grains, fruits, and vegetables support long-term weight management and provide essential nutrients.
D. "I will use corn oil when frying foods." Frying foods, regardless of the type of oil, increases calorie density and may not support weight loss. Healthier cooking methods like baking, steaming, or grilling are preferred for reducing fat intake and promoting weight control.

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A nurse is caring for a client who is receiving chemotherapy treatments. The client states, "I feel so nauseated after my treatments." Which of the following instructions should the nurse provide the client? (Select all that apply.)

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