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.)

Sip fluids slowly throughout the day.

Sit up for 1 hr after eating meals.

Consume foods that are served cold.

Eat foods low in carbohydrates.

Limit use of antiemetics until after first emesis.

Answer and Explanation

Correct Answer : A,B,C

A.   Sipping fluids slowly can help prevent dehydration and may help alleviate nausea.
B.   Sitting up for 1 hour after eating meals can help prevent reflux and reduce the likelihood of nausea.
C.   Cold foods may be better tolerated by individuals experiencing nausea.
D.   There is no specific evidence to suggest that eating foods low in carbohydrates helps with chemotherapy-induced nausea.
E.   Antiemetics should be taken as prescribed, and delaying their use until after experiencing vomiting may lead to inadequate control of nausea and vomiting. It's important for the client to follow the healthcare provider's instructions regarding the use of antiemetics.

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Correct Answer is B

Explanation

A. The DASH diet recommends limiting sodium intake to 2,300 milligrams per day for most individuals and further reducing it to 1,500 milligrams per day for those with hypertension or at high risk for it. Therefore, the instruction to limit sodium intake to 3,200 milligrams per day is not consistent with DASH diet recommendations.
B. The DASH diet emphasizes consumption of foods rich in calcium, such as low-fat dairy products, as part of its overall approach to promoting heart health and lowering blood pressure.
C. The DASH diet encourages consumption of whole grains and limits intake of refined carbohydrates, as these can contribute to hypertension and other cardiovascular risk factors.
D. The DASH diet recommends limiting saturated fat intake to less than 6% of total calories, rather than ten percent, as part of its emphasis on heart-healthy eating patterns.

A. "I should notify the provider if I have increased thirst." B. "I should consume foods high in potassium." C. "I should use a salt substitute to season my foods." D. "I should take this medication at bedtime."

Correct Answer is A

Explanation

A. Spironolactone is a potassium-sparing diuretic that can cause hyperkalemia, which can lead to symptoms such as increased thirst. Notifying the provider of increased thirst can help monitor for potential electrolyte imbalances.
B. Consuming foods high in potassium can exacerbate hyperkalemia, which is a potential side effect of spironolactone. Clients prescribed spironolactone are typically advised to avoid potassium-rich foods.
C. Using a salt substitute to season foods can increase sodium intake, which may counteract the effects of spironolactone and increase the risk of fluid retention and hypertension.
D. Taking spironolactone at bedtime is not typically recommended. It is usually taken in the morning to avoid disrupting sleep due to increased urination.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about the Dietary Approaches to Stop Hypertension (DASH) diet to a client who has hypertension. Which of the following instructions should the nurse include?

Correct Answer is B

Explanation

A nurse is providing discharge instructions for a client who has a new prescription for spironolactone. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

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