A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?

Encourage the client to eat even if nauseated.

Provide low-fat carbohydrates with meals.

Serve hot foods at mealtime.

Limit fluid intake between meals.

Answer and Explanation

The Correct Answer is B

Answer: B. Provide low-fat carbohydrates with meals.

Rationale:

A) Encourage the client to eat even if nauseated: Forcing the client to eat while experiencing nausea may worsen symptoms and increase the risk of vomiting. It is more effective to recommend small, tolerable meals with specific types of food to help reduce nausea.

B) Provide low-fat carbohydrates with meals: Low-fat carbohydrates, such as crackers or toast, are easier to digest and less likely to trigger nausea. They can help stabilize the stomach and minimize nausea symptoms, making this strategy the most appropriate recommendation.

C) Serve hot foods at mealtime: Hot foods may produce strong odors that could exacerbate nausea. Instead, cool or room-temperature foods are often better tolerated by clients experiencing nausea.

D) Limit fluid intake between meals: While limiting fluids during meals can sometimes reduce bloating, hydration remains critical for clients with nausea. Recommending sips of fluids throughout the day is a better approach than restricting fluids between meals.

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Correct Answer is B

Explanation

A) Oliguria, or decreased urine output, is a sign of fluid volume deficit rather than an indication that the treatment has been effective. In a client with fluid volume deficit, the kidneys conserve water to maintain fluid balance, leading to decreased urine output.

B) Elastic skin turgor is a reliable indicator of hydration status. When a client's fluid volume deficit is improving, their skin turgor returns to normal. Elastic skin turgor means that the skin quickly returns to its normal position after being pinched and released, indicating adequate hydration.

C) Tachycardia, or an increased heart rate, is a compensatory mechanism that the body uses to maintain cardiac output in response to fluid volume deficit. While tachycardia may initially be present in a client with fluid volume deficit, it is not an indication that treatment has been effective.

D) Dry mucous membranes are a manifestation of dehydration and fluid volume deficit. Moist mucous membranes indicate hydration status, and their dryness suggests dehydration. Dry mucous membranes are not indicative of effective treatment for fluid volume deficit.

A. "Protein requirements decrease in times of stress." B. "Glucose is broken down more slowly during times of stress." C. "Acute stress causes an increase in metabolism." D. "Stress causes a positive nitrogen balance in the body."

Correct Answer is C

Explanation

A) "Protein requirements decrease in times of stress": This statement is incorrect. During times of stress, such as illness or injury, the body's protein requirements often increase to support tissue repair, immune function, and other metabolic processes. Therefore, protein requirements typically increase rather than decrease during periods of stress.

B) "Glucose is broken down more slowly during times of stress": This statement is also incorrect. During stress, the body releases hormones such as cortisol and adrenaline, which promote the breakdown of glycogen into glucose, providing a quick energy source for the body's response to stress. Therefore, glucose is broken down more rapidly during times of stress to meet the increased energy demands.

C) "Acute stress causes an increase in metabolism": This statement is accurate. Acute stress triggers the release of stress hormones, such as cortisol and adrenaline, which can increase metabolism. These hormones stimulate processes such as gluconeogenesis (the production of glucose from non-carbohydrate sources), lipolysis (the breakdown of fats), and increased heart rate and blood pressure, all of which contribute to an increase in metabolic rate during acute stress.

D) "Stress causes a positive nitrogen balance in the body": This statement is incorrect. Stress, particularly severe or prolonged stress, can lead to a negative nitrogen balance in the body. During stress, there may be increased protein breakdown to provide amino acids for energy production and other metabolic needs. Additionally, stress can impair protein synthesis and utilization, leading to muscle wasting and a negative nitrogen balance.

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A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?

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