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 D

Explanation

A. Avoid feeding the infant more than once every 3 hr: Newborns should be fed on demand, which typically occurs every 1-3 hours, but it can vary. Some babies may want to nurse more frequently, especially in the early days, for comfort or to stimulate milk production. Restricting feedings to a set time interval can hinder the infant's ability to receive enough nourishment.
B. Provide the newborn with 15 mL of sterile water each day: Breast milk or formula provides all the hydration and nutrition the infant needs. Offering water can interfere with the infant's intake of breast milk, which is essential for proper growth and development.
C. Store expressed milk in the refrigerator for up to 7 days: While expressed breast milk can be stored in the refrigerator, the recommended storage time is typically 3-5 days, not 7 days. Storing milk for longer periods may increase the risk of bacterial growth, which could compromise the milk's safety and quality.
D. Feedings should begin within 1 hour after birth: Initiating breastfeeding within the first hour after birth is critical for both mother and baby. Early initiation of breastfeeding helps establish a good milk supply, promotes bonding, and provides the newborn with colostrum, which is rich in antibodies and nutrients essential for the baby’s immune system and overall health.

A. Cooking in a stainless-steel skillet increases the amount of iron in the food. B. Drinking orange juice with iron supplements can decrease absorption. C. Drinking iced tea with meals can increase the amount of iron absorbed. D. Fish and poultry are primary sources of heme iron.

Correct Answer is D

Explanation

A. Cooking in a stainless-steel skillet increases the amount of iron in the food: Stainless steel does not leach iron into food. Cast iron cookware may increase iron content in food, but stainless steel has no significant impact on dietary iron levels and should not be relied upon for supplementation.
B. Drinking orange juice with iron supplements can decrease absorption: Orange juice contains vitamin C, which enhances non-heme iron absorption. It helps convert ferric iron to its more absorbable ferrous form, so this combination actually improves iron absorption rather than reducing it.
C. Drinking iced tea with meals can increase the amount of iron absorbed: Iced tea contains tannins, which bind to iron and reduce its absorption. Consuming tea with meals interferes with the body’s ability to absorb dietary non-heme iron, particularly from plant-based sources.
D. Fish and poultry are primary sources of heme iron: Heme iron is found in animal sources like fish and poultry and is more readily absorbed by the body than non-heme iron from plant sources. Including these foods supports iron intake in clients with iron-deficiency anemia.

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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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